Provider Demographics
NPI:1811059165
Name:BRUNE, KAREN LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LEE
Last Name:BRUNE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 POST OAK BLVD
Mailing Address - Street 2:#1620
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3043
Mailing Address - Country:US
Mailing Address - Phone:713-622-6112
Mailing Address - Fax:713-622-2351
Practice Address - Street 1:1300 POST OAK BLVD
Practice Address - Street 2:#1620
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3043
Practice Address - Country:US
Practice Address - Phone:713-622-6112
Practice Address - Fax:713-622-2351
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX162471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice