Provider Demographics
NPI:1356571764
Name:POLLARD, CLAIRE LOUISE (RN, MSN, NP)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:LOUISE
Last Name:POLLARD
Suffix:
Gender:F
Credentials:RN, MSN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 FANNIN ST
Mailing Address - Street 2:FONDREN 270
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2703
Mailing Address - Country:US
Mailing Address - Phone:713-441-3020
Mailing Address - Fax:
Practice Address - Street 1:590 MEDICAL CENTER ROAD
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AA
Practice Address - Zip Code:76540
Practice Address - Country:US
Practice Address - Phone:254-499-8740
Practice Address - Fax:254-554-0936
Is Sole Proprietor?:No
Enumeration Date:2009-07-20
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX689615363LA2100X, 363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01507435OtherRR MEDICARE
TX8411NHOtherBLUE CROSS BLUE SHIELD
TXP01030478OtherRR MEDICARE
TX205104703Medicaid
TX205104704Medicaid
TX1356571764OtherBLUE CROSS BLUE SHIELD
TXP01030478OtherRR MEDICARE
TX346501YMVQMedicare PIN