Cornelius, Marlene
Cornelius, Marlene is an individual health care provider with primary practice located at 10125 Katy Fwy Ste 106 , Houston TX 77024-1287. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Cornelius, Marlene can be contacted via phone (713) 486-1330.Contact Information
Primary practice address
10125 Katy Fwy Ste 106
Houston TX 77024-1287
Phone: (713) 486-1330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 652859 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 652859 | Texas |
Profile Details
| NPI number | 1699021451 |
|---|---|
| LBN Legal business name | Cornelius, Marlene |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2012 |
| Last updated | Nov 29th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699021451 | NPPES |
| Texas | Other | 652859 | STATE LICENSE |
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