Provider Demographics
NPI:1528432614
Name:GOINS, KAREN M (LMT, RMA,CNA,MA,LMTI)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:GOINS
Suffix:
Gender:F
Credentials:LMT, RMA,CNA,MA,LMTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 SPACE PARK DR STE 150
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-6305
Mailing Address - Country:US
Mailing Address - Phone:832-892-0225
Mailing Address - Fax:281-720-3451
Practice Address - Street 1:2045 SPACE PARK DR STE 150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-6305
Practice Address - Country:US
Practice Address - Phone:832-892-0225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-30
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT122519225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX022918OtherOPTUM