Individual provider · Type 1 NPI

Carol Diane Donnelly, PA-C

Medical Physician Assistant · Houston, TX

NPI number 1376589606 Active

Practice location

1515 Holcombe Blvd
Houston, TX 77030-4095

Call (713) 792-6161 Map

Mailing address

PO Box 4439
Houston, TX 77210-4439

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA04224 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1376589606

Carol Diane Donnelly, PA-C's National Provider Identifier is 1376589606, issued on Jun 22, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Houston, TX. The record was last updated on Jul 8, 2007.