Healthcare Provider Details

I. General information

NPI: 1386018000
Provider Name (Legal Business Name): MRS. LEENA KURIEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2015
Last Update Date: 11/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 OFFICE CITY DR
HOUSTON TX
77012-4115
US

IV. Provider business mailing address

7550 OFFICE CITY DR
HOUSTON TX
77012-4115
US

V. Phone/Fax

Practice location:
  • Phone: 713-495-3757
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number35717
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: