Healthcare Provider Details

I. General information

NPI: 1740484344
Provider Name (Legal Business Name): KIMBERLY MARIE CARPIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E MEDICAL CENTER BLVD
WEBSTER TX
77598-4321
US

IV. Provider business mailing address

2020 NASA PKWY SUITE 260
HOUSTON TX
77058-3683
US

V. Phone/Fax

Practice location:
  • Phone: 713-799-9999
  • Fax:
Mailing address:
  • Phone: 281-333-4600
  • Fax: 281-333-9455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberBP1-0022222
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: