Provider Demographics
NPI:1184037343
Name:QUALMANN, KRISTA (MS, CGC)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:QUALMANN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6431 FANNIN ST
Mailing Address - Street 2:ROOM 7.130
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-500-6148
Mailing Address - Fax:713-704-7272
Practice Address - Street 1:6400 FANNIN ST
Practice Address - Street 2:SUITE 2800
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1521
Practice Address - Country:US
Practice Address - Phone:713-500-6148
Practice Address - Fax:713-704-7272
Is Sole Proprietor?:No
Enumeration Date:2014-06-05
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS