Provider Demographics
NPI:1700063542
Name:HOWARD, KARLA D (RN)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:D
Last Name:HOWARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 153623
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75915-3623
Mailing Address - Country:US
Mailing Address - Phone:903-422-0887
Mailing Address - Fax:936-632-3343
Practice Address - Street 1:2406 KINGWOOD CIR
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-1400
Practice Address - Country:US
Practice Address - Phone:903-422-0887
Practice Address - Fax:936-632-3343
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171W00000X171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor