CLARA DELORISE GIBSON-BOLTON (NPI# 1275620015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275620015 |
Entity Type | Individual |
Full Name | CLARA DELORISE GIBSON-BOLTON |
Practice Address |
2002 Holcombe Blvd. Rm. 3a-110 Houston TX 77030-4211 |
Mailing Address |
4410 Dacca Dr. Houston TX 77047-1240 |
Practice Telephone | 7137947332 |
Mailing Telephone | 7137383441 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
2002 HOLCOMBE BLVD. RM. 3A-110 |
City | HOUSTON |
State | TX |
Zip Code | 77030-4211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598785164 | Sally Ann Holmes | Physical Medicine & Rehabilitation | 2002 Holcombe Blvd., Spinal Cord Injury Care Line (128), Houston, TX 77030 | 2006-07-19 |
1306213038 | Karen Benson | Psychologist | 2002 Holcombe Blvd., Michael E. Debakey Veterans Affairs Medical Center, Houston, TX 77030 | 2015-08-28 |
1649524091 | Tara Celia Steinberg | Psychologist | 2002 Holcombe Blvd., Mail Code-mhcl 116b, Houston, TX 77030-4211 | 2012-11-07 |
1285953711 | Glynda Jane Cagaanan Raynaldo | Internal Medicine | 2002 Holcombe Blvd., Mcl-4a-330e, Houston, TX 77030-4298 | 2010-05-24 |
1952540197 | Emilia Cordero | Nurse Practitioner | 2002 Holcombe Blvd., Michael E. Debakey Va Medical Center, Houston, TX 77030-4298 | 2009-02-11 |
1295985687 | Gayla C. Colbert | Social Worker | 2002 Holcombe Blvd., Houston, TX 77030-4298 | 2008-09-23 |
1447413307 | Michael E Debakey Veterens Affairs Medical Center | Military Hospital | 2002 Holcombe Blvd., Houston, TX 77030-4211 | 2008-07-09 |
1316167323 | Sarah E Spain | Psychologist | 2002 Holcombe Blvd., Houston, TX 77030-4298 | 2007-05-01 |
1538380068 | Gabriel Igwala | Radiologic Technologist | 2002 Holcombe Blvd., Houston, TX 77030 | 2007-05-01 |
1619046414 | Janet A Dromnes | Social Worker | 2002 Holcombe Blvd., Houston, TX 77030 | 2006-11-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
Find all providers in zip 77030 |
Taxonomy Code | 246RM2200X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Pathology |
Specialization | Medical Laboratory |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518342807 | Michael Thai | Technician, Pathology | 15814 Mission Terrace Ct, Houston, TX 77083-5266 | 2015-07-28 |
1669894598 | Rose Udeh-nwosuocha | Technician, Pathology | 16100 Cairnway Dr Ste 225, Houston, TX 77084-3500 | 2014-01-12 |
1033228127 | Rose Toon | Technician, Pathology | 2718 Barbee St, Houston, TX 77004-5367 | 2006-08-30 |
1316055155 | Kay Wadsworth | Technician, Pathology | 14423 Dartwood Dr, Houston, TX 77049-3801 | 2006-08-29 |
1013525286 | American Premier Labs | Technician, Pathology | 5225 Katy Fwy Ste 105, Houston, TX 77007-2298 | 2020-07-14 |
1033531967 | Esther Opara-eke | Technician, Pathology | 16100 Cairnway Dr Ste 225, Houston, TX 77084-3500 | 2014-01-12 |
1154424141 | Michael R Rogers | Technician, Pathology | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-09-06 |
1457469215 | Cheryl Lynn Patel | Technician, Pathology | 2002 Holcombe Blvd, Rm. 3a-110, Houston, TX 77030-4211 | 2006-08-29 |
1023126927 | Stephanie Annette Pete | Technician, Pathology | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-08-29 |
1013025956 | Annie Payne | Technician, Pathology | 2002 Holcombe Blvd, Micro 113, Houston, TX 77030-4211 | 2006-08-29 |
Find all providers in HOUSTON |
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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.