Provider Demographics
NPI:1407043193
Name:KUY, SREYREATH (DPM)
Entity type:Individual
Prefix:DR
First Name:SREYREATH
Middle Name:
Last Name:KUY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20742 FOX CLIFF LN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-1450
Mailing Address - Country:US
Mailing Address - Phone:832-279-2996
Mailing Address - Fax:281-446-3114
Practice Address - Street 1:20742 FOX CLIFF LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-1450
Practice Address - Country:US
Practice Address - Phone:832-279-2996
Practice Address - Fax:281-446-3114
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1839213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX196423103Medicaid
TX8F23434Medicare PIN