Individual
MISS CHARNELL HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4211 FAIRMONT PKWY, PASADENA, TX 77504-3324
(832) 456-8434
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2200
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
1096464
TX
363LF0000X
Family Nurse Practitioner
Primary
1096464
TX
Other
Enumeration date
08/29/2023
Last updated
01/30/2024
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