Provider Demographics
NPI:1255524906
Name:GAINES, CHLOE G (FNP)
Entity type:Individual
Prefix:MS
First Name:CHLOE
Middle Name:G
Last Name:GAINES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 SAN FELIPE ST
Mailing Address - Street 2:525
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1707
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7500 SAN FELIPE ST
Practice Address - Street 2:525
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1707
Practice Address - Country:US
Practice Address - Phone:713-465-9282
Practice Address - Fax:713-465-9248
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX435472363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily