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NPI Code Detail

MEDICARE: MS. KATHLYNN HOLMES GOODE RN

MEDICARE: MS. KATHLYNN HOLMES GOODE RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WX0601XOtorhinolaryngology & Head-Neck Registered Nurse444335TX

General Provider Information

NPI Number : 1760476626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHLYNN HOLMES GOODE RN
Provider Business Mailing Address
First Line : 6550 FANNIN ST
Second Line : SUITE 2001
City : HOUSTON
State : TX
Zip : 77030-2717
Country : US
Telephone Number : 713-796-2001
Fax Number : 713-796-2349
Provider Business Practice Location Address
First Line : 6550 FANNIN ST
Second Line : SUITE 2001
City : HOUSTON
State : TX
Zip : 77030-2717
Country : US
Telephone Number : 713-796-2001
Fax Number : 713-796-2349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 07/08/2007

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