Organization · Type 2 NPI

Pacolea Inc

Family Nurse Practitioner · Humble, TX

NPI number 1205673787 Active

Practice location

242 1st St W
Humble, TX 77338

Fax (832) 756-9285

Mailing address

5614 W Grand Pkwy S Ste 102
Richmond, TX 77406-5820

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XNone listed
Community Health Registered Nurse 163WC1500XNone listed
Wound Care Registered Nurse 163WW0000XNone listed
Geriatric Medicine (Family Medicine) Physician 207QG0300XNone listed
Case Management Agency 251B00000XNone listed
Adult Health Nurse Practitioner 363LA2200XNone listed
Community Health Nurse Practitioner 363LC1500XNone listed
Family Nurse Practitioner Primary 363LF0000XNone listed
Gerontology Nurse Practitioner 363LG0600XNone listed
Primary Care Nurse Practitioner 363LP2300XNone listed
Adult Health Clinical Nurse Specialist 364SA2200XNone listed

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1205673787

Pacolea Inc's National Provider Identifier is 1205673787, issued on Jul 11, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Humble, TX. The record was last updated on Jul 30, 2026.