Healthcare Provider Details

I. General information

NPI: 1841572344
Provider Name (Legal Business Name): CHRISTINA KING ROWLEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2011
Last Update Date: 04/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17115 RED OAK DR STE 210
HOUSTON TX
77090-2641
US

IV. Provider business mailing address

17115 RED OAK DR STE 210
HOUSTON TX
77090-2641
US

V. Phone/Fax

Practice location:
  • Phone: 281-404-5454
  • Fax: 281-404-9336
Mailing address:
  • Phone: 281-404-5454
  • Fax: 281-404-9336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA.200486
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: