Provider Demographics
NPI:1689377202
Name:UNIVERSITY OF HOUSTON COLLEGE OF NURSING HEALTH CLINIC
Entity Type:Organization
Organization Name:UNIVERSITY OF HOUSTON COLLEGE OF NURSING HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:TART
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, MSN, RN
Authorized Official - Phone:832-842-8218
Mailing Address - Street 1:UNIVERSITY OF HOUSTON COLLEGE OF NURSING
Mailing Address - Street 2:14000 UNIVERSITY BLVD
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-8000
Mailing Address - Country:US
Mailing Address - Phone:832-842-8219
Mailing Address - Fax:713-743-1164
Practice Address - Street 1:UH COLLEGE OF NURSING HEALTH CLINIC
Practice Address - Street 2:5401 FANNIN
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6808
Practice Address - Country:US
Practice Address - Phone:832-842-8203
Practice Address - Fax:832-831-1638
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF HOUSTON SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty