Provider Demographics
NPI:1275746463
Name:NORMAN, CAROL ANN (NP)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:ANN
Last Name:NORMAN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:17115 RED OAK DR
Mailing Address - Street 2:STE 109 (RED OAK PSYCHIATRY PA)
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2641
Mailing Address - Country:US
Mailing Address - Phone:281-893-4111
Mailing Address - Fax:281-893-8082
Practice Address - Street 1:17115 RED OAK DR
Practice Address - Street 2:STE 109 (RED OAK PSYCHIATRY PA
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2641
Practice Address - Country:US
Practice Address - Phone:281-893-4111
Practice Address - Fax:281-893-8082
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX421208363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX194146001Medicaid
TX8J9051Medicare PIN