Healthcare Provider Details

I. General information

NPI: 1487639167
Provider Name (Legal Business Name): CHERYL CURRY KARIAN PA.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 03/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 W MEDICAL CENTER BLVD
WEBSTER TX
77598
US

IV. Provider business mailing address

PO BOX 911230
DALLAS TX
75391-1230
US

V. Phone/Fax

Practice location:
  • Phone: 281-332-7505
  • Fax: 281-332-7616
Mailing address:
  • Phone: 972-997-8000
  • Fax: 972-234-0813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA00235
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: