Healthcare Provider Details

I. General information

NPI: 1346570629
Provider Name (Legal Business Name): KRISTIN GLOVER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2010
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13100 NORTHWEST FWY STE 410
HOUSTON TX
77040-1005
US

IV. Provider business mailing address

13100 NORTHWEST FWY STE 410
HOUSTON TX
77040-1005
US

V. Phone/Fax

Practice location:
  • Phone: 833-365-2464
  • Fax:
Mailing address:
  • Phone: 833-365-2464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number1112222
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: