Healthcare Provider Details

I. General information

NPI: 1801450002
Provider Name (Legal Business Name): NATALIE KAY GREER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS NATALIE KAY PIKE

II. Dates (important events)

Enumeration Date: 04/24/2019
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4126 SOUTHWEST FWY STE 1700
HOUSTON TX
77027-7317
US

IV. Provider business mailing address

PO BOX 649834
DALLAS TX
75264-9834
US

V. Phone/Fax

Practice location:
  • Phone: 346-217-1111
  • Fax: 346-571-2189
Mailing address:
  • Phone: 346-308-6741
  • Fax: 346-571-2189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP139322
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP139322
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP139322
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: