Provider Demographics
NPI:1093829038
Name:KURY, GLORIA (EDD)
Entity Type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:
Last Name:KURY
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 329
Mailing Address - Street 2:
Mailing Address - City:LOZANO
Mailing Address - State:TX
Mailing Address - Zip Code:78568-0329
Mailing Address - Country:US
Mailing Address - Phone:956-454-5427
Mailing Address - Fax:956-748-4850
Practice Address - Street 1:856 W PRICE RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8702
Practice Address - Country:US
Practice Address - Phone:956-455-6030
Practice Address - Fax:956-748-4850
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14409101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029087603Medicaid