MEDICARE: CHRISTY TAYLOR KNOWLES PNP-PC

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
1	363LP0200X	Pediatric Nurse Practitioner	AP117971	TX
2	363LP0200X	Pediatric Nurse Practitioner	502711	TX

General Provider Information

NPI Number	:	1184915688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY TAYLOR KNOWLES PNP-PC

Provider Business Mailing Address
First Line	:	11511 SHADOW CREEK PKWY
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7298
Country	:	US
Telephone Number	:	713-442-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	13203 FRY RD
Second Line	:	SUITE 600
City	:	CYPRESS
State	:	TX
Zip	:	77433-3668
Country	:	US
Telephone Number	:	281-304-5559
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2011
Last Update Date	:	02/25/2025

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