1275746463 NPI number — MS. CAROL ANN NORMAN NP

Table of content: MS. CAROL ANN NORMAN NP (NPI 1275746463)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275746463 NPI number — MS. CAROL ANN NORMAN NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NORMAN
Provider First Name:
CAROL
Provider Middle Name:
ANN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
NP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275746463
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/10/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17115 RED OAK DR
Provider Second Line Business Mailing Address:
STE 109 (RED OAK PSYCHIATRY PA)
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77090-2641
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-893-4111
Provider Business Mailing Address Fax Number:
281-893-8082

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17115 RED OAK DR
Provider Second Line Business Practice Location Address:
STE 109 (RED OAK PSYCHIATRY PA
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77090-2641
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-893-4111
Provider Business Practice Location Address Fax Number:
281-893-8082
Provider Enumeration Date:
05/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  421208 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 194146001 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com