Healthcare Provider Details

I. General information

NPI: 1427831775
Provider Name (Legal Business Name): KARTAR KAUR DINER HERRERA RN IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 08/18/2023
Certification Date: 08/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 RICHMOND AVE STE 304
HOUSTON TX
77098-3015
US

IV. Provider business mailing address

3007 WOODLAND HILLS DR # 205
KINGWOOD TX
77339-1403
US

V. Phone/Fax

Practice location:
  • Phone: 281-305-0411
  • Fax: 281-572-0627
Mailing address:
  • Phone: 281-305-0411
  • Fax: 281-572-0627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number858334
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: