1669782710 NPI number — MRS. DENISE L CULPEPPER APRN

Table of content: MRS. DENISE L CULPEPPER APRN (NPI 1669782710)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669782710 NPI number — MRS. DENISE L CULPEPPER APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CULPEPPER
Provider First Name:
DENISE
Provider Middle Name:
L
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
APRN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GOERTZ
Provider Other First Name:
DENISE
Provider Other Middle Name:
L
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1669782710
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/16/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7447 HARWIN DR
Provider Second Line Business Mailing Address:
STE# 100
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77036-2016
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-541-6988
Provider Business Mailing Address Fax Number:
713-541-6982

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7447 HARWIN DR
Provider Second Line Business Practice Location Address:
STE# 100
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77036-2016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-541-6988
Provider Business Practice Location Address Fax Number:
713-541-6982
Provider Enumeration Date:
10/07/2010

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: 363LF0000X , with the licence number:  693838 , 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: 693838 . This is a "TEXAS STATE LICENSE NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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