person
Ms. Carol Diane Donnelly, PA-C
Medical Physician Assistant in Houston, Texas
NPI 1376589606

Carol Diane Donnelly is a Medical Physician Assistant based in Houston, TX and is specialized in Medical. Carol Diane Donnelly practices in Houston, TX and has the professional credentials of PA-C. The NPI Number for Carol Diane Donnelly is 1376589606 and holds a License No. PA04224 (Texas).

The current practice location address for Carol Diane Donnelly is 1515 Holcombe Blvd, Houston, TX and can be reached out via phone at 713-792-6161.

Location: 1515 Holcombe Blvd, Houston, TX, 77210-4439
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Provider Profile Details
NPI Number
1376589606
Provider Name
Carol Diane Donnelly
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1515 Holcombe Blvd, Houston, TX, 77210-4439
Phone Number
713-792-6161
Fax Number
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8N9867 01 TX BCBSTX PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1515 Holcombe Blvd
City
State
Zip
77030-4095
Phone Number
713-792-6161
Fax Number
person
Provider Business Mailing Address Details
Address
1515 Holcombe Blvd
City
State
Zip
77030-4095
Phone Number
713-792-6161
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA04224 (Texas)
Definition
Definition to come...
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