Provider Demographics
NPI:1922199215
Name:ROWE, CARON YVONNE (KT)
Entity Type:Individual
Prefix:MS
First Name:CARON
Middle Name:YVONNE
Last Name:ROWE
Suffix:
Gender:F
Credentials:KT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 HOLLY HALL ST
Mailing Address - Street 2:202
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3970
Mailing Address - Country:US
Mailing Address - Phone:713-790-0516
Mailing Address - Fax:713-794-7631
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:117/RCL
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-794-7054
Practice Address - Fax:713-794-7631
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist