Provider Demographics
NPI:1417982885
Name:CURTIS, MICHELE G (MD)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:G
Last Name:CURTIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20502 RIVERSIDE PINES DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-1674
Mailing Address - Country:US
Mailing Address - Phone:713-906-6202
Mailing Address - Fax:
Practice Address - Street 1:20502 RIVERSIDE PINES DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-1674
Practice Address - Country:US
Practice Address - Phone:713-906-6202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6141207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX134612401OtherCSHCN
TX134612407Medicaid
TX88Y706OtherBCBS
TX88Y706OtherBCBS
TX88Y706Medicare PIN
TX134612401OtherCSHCN