Provider Demographics
NPI:1073873402
Name:CARLEY, DESIRE
Entity Type:Individual
Prefix:
First Name:DESIRE
Middle Name:
Last Name:CARLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4543 POST OAK PLACE DR
Mailing Address - Street 2:SUITE 125
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3160
Mailing Address - Country:US
Mailing Address - Phone:713-862-4443
Mailing Address - Fax:832-369-7301
Practice Address - Street 1:3525 GULF FWY
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-4120
Practice Address - Country:US
Practice Address - Phone:281-337-8090
Practice Address - Fax:281-534-0838
Is Sole Proprietor?:No
Enumeration Date:2012-05-18
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80389237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist