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NPI Code Detail

MEDICARE: CHRISTINE BOLLINGER RN, MS, CPNP

MEDICARE: CHRISTINE BOLLINGER RN, MS, CPNP
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
1363LP0200XPediatric Nurse Practitioner546898TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548340979
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE BOLLINGER RN, MS, CPNP
Provider Business Mailing Address
First Line : 6701 FANNIN ST STE 1020
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2611
Country : US
Telephone Number : 832-822-1090
Fax Number : 832-825-3903
Provider Business Practice Location Address
First Line : 6701 FANNIN ST STE 1020
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2611
Country : US
Telephone Number : 832-822-1090
Fax Number : 832-825-3903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 10/16/2012

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