Provider Demographics
NPI:1093719049
Name:GIVEON, CAROLYN A (MS, RN, ANP, GNP)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:A
Last Name:GIVEON
Suffix:
Gender:F
Credentials:MS, RN, ANP, GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6624 FANNIN ST
Mailing Address - Street 2:STE 2420
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2336
Mailing Address - Country:US
Mailing Address - Phone:713-790-0400
Mailing Address - Fax:713-799-2121
Practice Address - Street 1:6624 FANNIN ST
Practice Address - Street 2:STE 2420
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2336
Practice Address - Country:US
Practice Address - Phone:713-790-0400
Practice Address - Fax:713-799-2121
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX646121363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P37773Medicare UPIN
TX8B8681Medicare ID - Type Unspecified