Kimberly Fugman Byrum
Nurse Practitioner - Family Medicine
13802 Centerfield Rd Suite 300
Houston
, Texas 77070-6044
Kimberly Fugman Byrum
Nurse Practitioner - Family Medicine
13802 Centerfield Rd Suite 300
Houston
, Texas 77070-6044
(281) 723-7299
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Kimberly Fugman Byrum
- 17902 Theisswood Cir
- Spring, TX
- Zip : 77379-3985
- Phone : (281) 723-7299
Second Address
- Kimberly Fugman Byrum
- 13802 Centerfield Rd Suite 300
- Houston, TX
- Zip : 77070-6044
- Fax : (281) 737-0926
- Phone : (281) 737-0999
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Is Kimberly Fugman Byrum a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 669375 | TX |
National Provider Identifier
| NPI | 1003162454 |
|---|---|
| Provider Name | Kimberly Fugman Byrum |
| First Address | Spring, TX 77379-3985 |
| Second Address | Houston, TX 77070-6044 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2012 |
| Last Update Date | 17/12/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003162454 | BLUE CROSS BLUE SHIELD (01) | TX |
| 305066802 | (05) | TX |
| 305066803 | (05) | TX |
| 8365ND | BLUE CROSS BLUE SHIELD (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.