Provider Demographics
NPI:1649749631
Name:KURUP, RESHMI (MS, RN, NP)
Entity Type:Individual
Prefix:MS
First Name:RESHMI
Middle Name:
Last Name:KURUP
Suffix:
Gender:F
Credentials:MS, RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 FANNIN ST STE 2070
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1541
Mailing Address - Country:US
Mailing Address - Phone:713-486-8000
Mailing Address - Fax:713-486-8088
Practice Address - Street 1:1631 NORTH LOOP W STE 245
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1528
Practice Address - Country:US
Practice Address - Phone:713-486-8150
Practice Address - Fax:713-486-8155
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139808363LA2100X
TX866442163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WN0800XNursing Service ProvidersRegistered NurseNeuroscience
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0035TDOtherGRP BCBSTX RECORD #
TX153449704OtherMEDICAID GRP TPI #