Kolby Harper, RN | |
6720 Bertner Ave, Houston, TX 77030-2604 | |
(823) 355-2666 | |
Not Available |
Full Name | Kolby Harper |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 6720 Bertner Ave, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134990369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 929513 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 929513 (Texas) | Primary |
Entity Name | Baylor College Of Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972 |
Mailing Address | Practice Location Address |
---|---|
Kolby Harper, RN 14900 Memorial Dr Apt 314, Houston, TX 77079-4064 Ph: () - | Kolby Harper, RN 6720 Bertner Ave, Houston, TX 77030-2604 Ph: (823) 355-2666 |
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