Basic Information
| Provider Information | |||||||||
| NPI: | 1881829398 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CURD | ||||||||
| FirstName: | KARLEY | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | CSA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9490 FM 1960 BYPASS W STE 200-310 | ||||||||
| Address2: | |||||||||
| City: | HUMBLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773384099 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8327718363 | ||||||||
| FaxNumber: | 8324910322 | ||||||||
| Practice Location | |||||||||
| Address1: | 502 HIGGINS ST | ||||||||
| Address2: | |||||||||
| City: | HUMBLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773384640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8327718363 | ||||||||
| FaxNumber: | 8324910322 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2009 | ||||||||
| LastUpdateDate: | 02/24/2015 | ||||||||
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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 | 246ZC0007X | 09-125 | TX | Y | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Certified First Assistant | 246ZS0410X | TX | N |
ID Information
| ID | Type | State | Issuer | Description | SA-C 09-125 | 01 | TX | ABSA CERTIFICATION | OTHER |