Healthcare Provider Details

I. General information

NPI: 1619256302
Provider Name (Legal Business Name): PATRICE BOLLING-CRIER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2011
Last Update Date: 08/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 HOLCOMBE BLVD
HOUSTON TX
77030-4211
US

IV. Provider business mailing address

2002 HOLCOMBE BLVD
HOUSTON TX
77030-4211
US

V. Phone/Fax

Practice location:
  • Phone: 713-794-7559
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number764296
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: