=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700063542
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KARLA D HOWARD RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/23/2008
-----------------------------------------------------
Last Update Date | 01/23/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2406 KINGWOOD CIR
-----------------------------------------------------
City | LUFKIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75901-1400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-422-0887
-----------------------------------------------------
Fax | 936-632-3343
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 153623
-----------------------------------------------------
City | LUFKIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75915-3623
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-422-0887
-----------------------------------------------------
Fax | 936-632-3343
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171W00000X
-----------------------------------------------------
Taxonomy Name | Contractor
-----------------------------------------------------
License Number | 171W00000X
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------