Healthcare Provider Details

I. General information

NPI: 1407043193
Provider Name (Legal Business Name): SREYREATH KUY DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2007
Last Update Date: 08/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20742 FOX CLIFF LN
HUMBLE TX
77338-1450
US

IV. Provider business mailing address

20742 FOX CLIFF LN
HUMBLE TX
77338-1450
US

V. Phone/Fax

Practice location:
  • Phone: 832-279-2996
  • Fax: 281-446-3114
Mailing address:
  • Phone: 832-279-2996
  • Fax: 281-446-3114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number1839
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: