Provider Demographics
NPI:1609988369
Name:MAKULSKI, DARLENE DEBRA (MD)
Entity Type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:DEBRA
Last Name:MAKULSKI
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 1:3210 CONSULAR CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584
Mailing Address - Country:US
Mailing Address - Phone:832-736-9154
Mailing Address - Fax:
Practice Address - Street 1:3601 N MACGREGOR
Practice Address - Street 2:SUITE 240 QUENTIN MEASE HOSPITAL
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004
Practice Address - Country:US
Practice Address - Phone:713-873-3878
Practice Address - Fax:713-873-3874
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8119208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
8D8516Medicare ID - Type Unspecified