| Katherine Colleen Korenek, RN | |
| 22325 Gosling Rd, Spring, TX 77389-4409 | |
| (281) 724-7980 | |
| Not Available | 
| Full Name | Katherine Colleen Korenek | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 22325 Gosling Rd, Spring, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184420457 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 937933 (Texas) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1192374 (Texas) | Primary | 
| Entity Name | Southern Magnolia Management Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346866845 PECOS PAC ID: 7810391984 Enrollment ID: O20210811002623 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Katherine Colleen Korenek, RN 22325 Gosling Rd, Spring, TX 77389-4409 Ph: (281) 724-7980 | Katherine Colleen Korenek, RN 22325 Gosling Rd, Spring, TX 77389-4409 Ph: (281) 724-7980 | 
| Ms. Lea Ann Jackson, F.NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3307 Spring Stuebner Ste. A1, Spring, TX 77389 Phone: 281-528-2273 Fax: 281-528-6283 | |
| Paulette Senegal,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5529 Louetta Rd Ste A7, Spring, TX 77379 Phone: 346-296-0520 | |
| Amanda Lyn Gray,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4057 Riley Fuzzel Rd Ste 700, Spring, TX 77386 Phone: 832-707-0407 | |
| Deidra D Williams, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Louetta Crossing, Spring, TX 77373 Phone: 281-528-0278 Fax: 281-528-2975 | |
| Priscilla Boahemaa, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20511 Spring Mission Ln, Spring, TX 77388 Phone: 832-628-1200 | |
| Imelda Bravo Cristal,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Skipwith Pl, Spring, TX 77382 Phone: 951-315-0010 | |
| Kimbria Nicole Burton, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8707 Spring Cypress Rd Ste E, Spring, TX 77379 Phone: 832-562-3390 Fax: 832-562-3391 |