Provider Demographics
NPI:1942891262
Name:PALOMO, KARLA
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:PALOMO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6526 BRIAR GLADE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2034
Mailing Address - Country:US
Mailing Address - Phone:832-495-7462
Mailing Address - Fax:
Practice Address - Street 1:10100 BEECHNUT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5000
Practice Address - Country:US
Practice Address - Phone:281-564-5209
Practice Address - Fax:281-564-5245
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX223067183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician