Healthcare Provider Details

I. General information

NPI: 1144909367
Provider Name (Legal Business Name): CATHARINE SOFIA PIMENTEL APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2023
Last Update Date: 06/01/2024
Certification Date: 06/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18951 N MEMORIAL DR
HUMBLE TX
77338-4217
US

IV. Provider business mailing address

14314 LANTANA BRANCH LN
HUMBLE TX
77396-4362
US

V. Phone/Fax

Practice location:
  • Phone: 281-540-7700
  • Fax:
Mailing address:
  • Phone: 832-496-8167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1147400
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: