Basic Information
| Provider Information | |||||||||
| NPI: | 1922115534 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KUCZBEL | ||||||||
| FirstName: | VALERIE | ||||||||
| MiddleName: | KAREN | ||||||||
| NamePrefix: | PROF. | ||||||||
| NameSuffix: | |||||||||
| Credential: | CPNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11840 FM 1960 RD W | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770653840 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8329127044 | ||||||||
| FaxNumber: | 8329127033 | ||||||||
| Practice Location | |||||||||
| Address1: | 27721 STATE HIGHWAY 249 SUITE 100 | ||||||||
| Address2: | |||||||||
| City: | TOMBALL | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77375 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2813575115 | ||||||||
| FaxNumber: | 2815169466 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2006 | ||||||||
| LastUpdateDate: | 02/14/2013 | ||||||||
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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 | 363LP0200X | 543179 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 543179 | 01 | TX | RN LICENSE | OTHER | 2000081 | 01 | TX | PEDIATRIC NURSING CERTIF | OTHER |