Healthcare Provider Details

I. General information

NPI: 1922115534
Provider Name (Legal Business Name): VALERIE KAREN KUCZBEL CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 02/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27721 STATE HIGHWAY 249 SUITE 100
TOMBALL TX
77375
US

IV. Provider business mailing address

11840 FM 1960 RD W
HOUSTON TX
77065-3840
US

V. Phone/Fax

Practice location:
  • Phone: 281-357-5115
  • Fax: 281-516-9466
Mailing address:
  • Phone: 832-912-7044
  • Fax: 832-912-7033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number543179
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: