Provider Demographics
NPI:1649866047
Name:HALL-HOLCOMBE, KAREN RENEE
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:RENEE
Last Name:HALL-HOLCOMBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20706 BROOK RISE LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5546
Mailing Address - Country:US
Mailing Address - Phone:713-302-3684
Mailing Address - Fax:
Practice Address - Street 1:31303 FM 2920 RD
Practice Address - Street 2:
Practice Address - City:WALLER
Practice Address - State:TX
Practice Address - Zip Code:77484-8197
Practice Address - Country:US
Practice Address - Phone:936-372-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-19
Last Update Date:2020-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX31214183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist