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NPI Code Detail

MEDICARE: HOLLY SEALS FNP

MEDICARE: HOLLY SEALS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner1192125TX

General Provider Information

NPI Number : 1043019516
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY SEALS FNP
Provider Business Mailing Address
First Line : 22118 EL MATADOR ST
Second Line :
City : CROSBY
State : TX
Zip : 77532-3059
Country : US
Telephone Number : 409-767-6607
Fax Number :
Provider Business Practice Location Address
First Line : 3 N MAIN ST STE 2
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-3710
Country : US
Telephone Number : 281-369-9634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2025
Last Update Date : 04/02/2026

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Directions to “ HOLLY SEALS FNP” Practice Location

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