Provider Demographics
NPI:1073815668
Name:GOOLSBY, CHRISTEN K (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:K
Last Name:GOOLSBY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CHRISTEN
Other - Middle Name:J
Other - Last Name:KELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11307 FM 1960 RD W STE 210
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3687
Mailing Address - Country:US
Mailing Address - Phone:281-807-0111
Mailing Address - Fax:281-807-0114
Practice Address - Street 1:11307 FM 1960 RD W STE 210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3687
Practice Address - Country:US
Practice Address - Phone:281-807-0111
Practice Address - Fax:281-807-0114
Is Sole Proprietor?:No
Enumeration Date:2010-12-02
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX712906363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily