Gourmelon, Nicole

Gourmelon, Nicole is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gourmelon, Nicole can be contacted via phone (713) 792-6161.

Contact Information

Primary practice address
1515 Holcombe Blvd Houston TX 77030-4000
Phone: (713) 792-6161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12749 Texas

Profile Details

NPI number 1629636972
LBN Legal business name Gourmelon, Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2019
Last updated Nov 21st, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629636972 NPPES
Texas Other 8LT455 BCBS
Texas Other 402724502 BCBS
Texas MEDICAID 402724501 BCBS

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