Provider Demographics
NPI:1477948008
Name:PITTS, CAROL S (BSRN)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:S
Last Name:PITTS
Suffix:
Gender:F
Credentials:BSRN
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:S
Other - Last Name:PITTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSRN
Mailing Address - Street 1:8202 KNURLED OAK LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3963
Mailing Address - Country:US
Mailing Address - Phone:281-251-4979
Mailing Address - Fax:
Practice Address - Street 1:8202 KNURLED OAK LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3963
Practice Address - Country:US
Practice Address - Phone:281-251-4979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX608309163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health