Healthcare Provider Details

I. General information

NPI: 1356571764
Provider Name (Legal Business Name): CLAIRE LOUISE POLLARD RN, MSN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2009
Last Update Date: 08/13/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 MEDICAL CENTER ROAD
APO AA
76540
US

IV. Provider business mailing address

6565 FANNIN ST FONDREN 270
HOUSTON TX
77030-2703
US

V. Phone/Fax

Practice location:
  • Phone: 254-499-8740
  • Fax: 254-554-0936
Mailing address:
  • Phone: 713-441-3020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number689615
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number689615
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number689615
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: