Provider Demographics
NPI:1821318650
Name:GLOVER, KATHARINE (CPNP)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:GLOVER
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 N SAM HOUSTON PKWY W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-4335
Mailing Address - Country:US
Mailing Address - Phone:832-828-1005
Mailing Address - Fax:832-825-8740
Practice Address - Street 1:700 N SAM HOUSTON PKWY W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-4335
Practice Address - Country:US
Practice Address - Phone:832-828-1005
Practice Address - Fax:832-825-8740
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133372363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics