Provider Demographics
NPI:1124063631
Name:KURRELMEYER, KARLA (MD)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:KURRELMEYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 1901
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-441-1100
Mailing Address - Fax:713-790-2643
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 1901
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-441-1100
Practice Address - Fax:713-790-2643
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2231207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX045424108Medicaid
TX045424105Medicaid
TX045424106Medicaid
TX045424104Medicaid
TX8U8372OtherBCBS
TX8ED316OtherBLUE CROSS BLUE SHIELD
TX045424103Medicaid
TX045424107Medicaid
LA1801623Medicaid
TXP01036891OtherRR MEDICARE
TXP01309356OtherRR MEDICARE
TX8U8372OtherBLUE CROSS BLUE SHIELD
TXP00295798OtherRAILROAD MEDICARE
TX045424104Medicaid
TX045424103Medicaid
TX045424105Medicaid
LA1801623Medicaid
TX8L4924Medicare PIN
TXH21349Medicare UPIN
TXTXB145897Medicare PIN
TX8F1440Medicare PIN