Provider Demographics
NPI:1194696237
Name:PALLICONSULTS, LLC
Entity type:Organization
Organization Name:PALLICONSULTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:832-233-5852
Mailing Address - Street 1:2266 STRONG HORSE DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-2278
Mailing Address - Country:US
Mailing Address - Phone:832-233-5852
Mailing Address - Fax:
Practice Address - Street 1:2266 STRONG HORSE DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-2278
Practice Address - Country:US
Practice Address - Phone:832-233-5852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty