Active NPI 1194941450 Individual Practitioner Female Practitioner

Holly Bronson Black , CPNP

Nurse Practitioner - Pediatrics • Fulshear, TX

Professional Overview & Biography Verified Profile Summary

Holly Black, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Fulshear, TX. Practice services are available at 7629 TIKI DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7629 Tiki Dr

Fulshear, TX 774411548

Telephone 2813987353

Associated Practice Facility / Clinic

🏢 Heidi Schultz, M.d., P.a. Facility NPI 1659309441

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Fulshear, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 8.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Fulshear, TX (2253 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-03-30

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX 628292

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Dalia Batista , MD

Pediatrics

NPI 1609031491

Doctor of Medicine (M.D.)

Dr. Punita Sunder , PhD, MD

Pediatrics

NPI 1659661551

Doctor of Philosophy (Ph.D.), Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 30, 2022

Registered at 7629 TIKI DR, FULSHEAR, TX 774411548 (Tel: 2813987353)

📍

Updated Business Mailing Address March 30, 2022

Registered at 600 JEFFERSON ST STE 404, LAFAYETTE, LA 705016991 (Tel: 2813460018)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 21715 KINGSLAND BLVD, KATY, TX 774502543 (Tel: 2813987353)

📍

Updated Business Mailing Address July 08, 2007

Registered at 5710 DUSTY HEATH CT, KATY, TX 774503520 (Tel: 2815990590)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as HOLLY BLACK, CPNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #628292 in TX)

🟢

Initial NPI Registration & Enumeration April 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194941450

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 17, 2007

Last Update: March 30, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

600 Jefferson St Ste 404

Lafayette, LA 705016991

Phone: 2813460018

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.