Provider Demographics
NPI:1609129725
Name:KRISTIA J. GARVEY
Entity type:Organization
Organization Name:KRISTIA J. GARVEY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIA
Authorized Official - Middle Name:JUVONNE
Authorized Official - Last Name:GARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-505-2980
Mailing Address - Street 1:6955 ALMEDA RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-2009
Mailing Address - Country:US
Mailing Address - Phone:800-505-2980
Mailing Address - Fax:800-398-4615
Practice Address - Street 1:6955 ALMEDA RD
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-2009
Practice Address - Country:US
Practice Address - Phone:800-505-2980
Practice Address - Fax:800-398-4615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-26
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty