Provider Demographics
NPI:1982914685
Name:CARMEANS, KRISTEN NICOLE (HIS)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:NICOLE
Last Name:CARMEANS
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 FM 517 RD W
Mailing Address - Street 2:#101-B
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-3923
Mailing Address - Country:US
Mailing Address - Phone:281-534-6689
Mailing Address - Fax:281-614-1619
Practice Address - Street 1:914 FM 517 RD W
Practice Address - Street 2:#101-B
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-3923
Practice Address - Country:US
Practice Address - Phone:281-534-6689
Practice Address - Fax:281-614-1619
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80305237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist