Basic Information
| Provider Information | |||||||||
| NPI: | 1124063631 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KURRELMEYER | ||||||||
| FirstName: | KARLA | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6550 FANNIN ST | ||||||||
| Address2: | SUITE 1901 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7134411100 | ||||||||
| FaxNumber: | 7137902643 | ||||||||
| Practice Location | |||||||||
| Address1: | 6550 FANNIN ST | ||||||||
| Address2: | SUITE 1901 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7134411100 | ||||||||
| FaxNumber: | 7137902643 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2006 | ||||||||
| LastUpdateDate: | 01/10/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | K2231 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 045424108 | 05 | TX | MEDICAID | 045424105 | 05 | TX | MEDICAID | 045424106 | 05 | TX | MEDICAID | 045424104 | 05 | TX | MEDICAID | 8U8372 | 01 | TX | BCBS | OTHER | 8ED316 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER | 045424103 | 05 | TX | MEDICAID | 045424107 | 05 | TX | MEDICAID | 1801623 | 05 | LA | MEDICAID | P01036891 | 01 | TX | RR MEDICARE | OTHER | P01309356 | 01 | TX | RR MEDICARE | OTHER | 8U8372 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER | P00295798 | 01 | TX | RAILROAD MEDICARE | OTHER |