Provider Demographics
NPI:1548589286
Name:GUILLORY, CAROLE ANN
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:ANN
Last Name:GUILLORY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAROLE
Other - Middle Name:ANN
Other - Last Name:GUILLORY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:14507 NORTHERN MOUNTAIN CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-7124
Mailing Address - Country:US
Mailing Address - Phone:281-773-1857
Mailing Address - Fax:
Practice Address - Street 1:14507 NORTHERN MOUNTAIN CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-7124
Practice Address - Country:US
Practice Address - Phone:281-773-1857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-20
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX772702163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Multi-Specialty