Nurse Practitioner, Pediatrics
HOLLY BLACK cPNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1194941450 · enumerated 2007-04-17 · record updated 2022-03-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 7629 TIKI DR, FULSHEAR, TX, 77441-1548 (281) 398-7353 Google Maps Apple Maps OpenStreetMap
- Mailing address 600 JEFFERSON ST STE 404, LAFAYETTE, LA, 70501-6991 (281) 346-0018 Fax (281) 346-0913 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 628292 TX
In this directory
Locations and evidence
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Practice location
FULSHEAR, TX, 774411548
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.