Provider Demographics
NPI:1932417664
Name:JUENKE, NORMA
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:JUENKE
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 1:10107 KIRKPLUM DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2828
Mailing Address - Country:US
Mailing Address - Phone:713-591-3605
Mailing Address - Fax:832-230-3758
Practice Address - Street 1:10107 KIRKPLUM DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-2828
Practice Address - Country:US
Practice Address - Phone:713-591-3605
Practice Address - Fax:832-230-3758
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health