AGNES U OLOLO (NPI# 1174050603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174050603 |
| Entity Type | Individual |
| Full Name | AGNES U OLOLO |
| Credential | FNP |
| Practice Address |
3802 Stuart Dr La Porte TX 77571-3942 |
| Practice Telephone | 2814786096 |
| Practice Fax Number | 2814786096 |
| Mailing Telephone | 2814786096 |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2017-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP133617 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3802 STUART DR |
| City | LA PORTE |
| State | TX |
| Zip Code | 77571-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831159 | Ml - La Porte, LLC | Skilled Nursing Facility | 3950 Underwood Rd, La Porte, TX 77571 | 2020-04-29 |
| 1487205779 | Deborah Martin | Technician | 1006 Shell Rock Rd, La Poete, TX 77571 | 2019-09-27 |
| 1871899815 | Jamie Lee Anderson | Chiropractor | 1003 S. Broadway St., La Porte, TX 77571 | 2011-02-09 |
| 1700064292 | Pediatric Clinic of Laporte | Pediatrics | 10407 West Fairmont Parkway, Suite B, Laporte, TX 77571 | 2008-02-06 |
| 1518172188 | Larry Alan Ward | Chiropractor | 10335 Shell Rock, La Porte, TX 77571 | 2007-05-14 |
| 1720125008 | Victor Alvarado | Dentist | 400 W Fairmont Pkwy, La Porte, TX 77571 | 2007-01-30 |
| 1417042904 | Cynthia A Bowles | Physician Assistant | 3414 Hwy 146 S, La Porte, TX 77571 | 2006-10-03 |
| 1659473809 | Rahman Sahadat Uddin | Pediatrics | 10407 W Fairmont Pkwy, Ste B, La Porte, TX 77571 | 2006-09-01 |
| 1306950225 | Special Texas Homes Inc | Intermediate Care Facility, Mentally Retarded | 5205 Meadowplace, La Porte, TX 77571 | 2006-08-18 |
| 1275647190 | Special Texas Homes Inc | Intermediate Care Facility, Mentally Retarded | 9734 Shellrock Rd, La Porte, TX 77571 | 2006-08-18 |
| Find all providers in zip 77571 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594767 | Brooklynn Smock | Nurse Practitioner | 309 W Johnson Rd, La Porte, IN 46350-1982 | 2020-09-24 |
| 1518575182 | Joanne Lacoste | Nurse Practitioner | 931 Myrtle Creek Dr, La Porte, TX 77571-2767 | 2020-07-20 |
| 1922634542 | Raymond Joseph Keener | Nurse Practitioner | 711 W 250 S, La Porte, IN 46350-8108 | 2020-03-15 |
| 1750823795 | Tiffany Bowen | Nurse Practitioner | 508 Legacy Plz W, La Porte, IN 46350-5254 | 2016-11-08 |
| 1407159155 | Jocelyn Leigh Stowell | Nurse Practitioner | 311 Boyd Blvd., La Porte, IN 46350-3965 | 2010-12-17 |
| 1891838629 | Susan K Grace | Nurse Practitioner | 400 Teegarden St, Suite B, La Porte, IN 46350-3175 | 2007-02-14 |
| 1083228399 | April Donald | Nurse Practitioner | 204 Legacy Plz W, La Porte, IN 46350-5285 | 2020-09-03 |
| 1033748736 | Tami Clinkenbeard | Nurse Practitioner | 401 Newporte Blvd, La Porte, IN 46350-4099 | 2020-04-04 |
| 1255963336 | Brittany L. Catizone | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350-3105 | 2020-02-06 |
| 1538704101 | Heidi Marie Bickel | Nurse Practitioner | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2019-11-07 |
| Find all providers in LA PORTE | ||||
Please comment or provide details below to improve the information on AGNES U OLOLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.