Provider Demographics
NPI:1659108405
Name:TERAN, KARINA (CHW)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:TERAN
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6415 GAINESVILLE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77020-3109
Mailing Address - Country:US
Mailing Address - Phone:713-539-9446
Mailing Address - Fax:
Practice Address - Street 1:6415 GAINESVILLE ST # 0
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77020-3109
Practice Address - Country:US
Practice Address - Phone:346-509-9141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17840172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker