Provider Demographics
NPI:1124096532
Name:STOREY, CAROL MICHELE (MD)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:MICHELE
Last Name:STOREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:CAROL
Other - Middle Name:MICHELE
Other - Last Name:STOREY-DESROCHES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3334 RICHMOND AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3023
Mailing Address - Country:US
Mailing Address - Phone:713-582-8034
Mailing Address - Fax:713-493-2505
Practice Address - Street 1:3334 RICHMOND AVE STE 208
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3023
Practice Address - Country:US
Practice Address - Phone:713-582-8034
Practice Address - Fax:713-493-2510
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0852207V00000X
NMMD2025-0170207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B8480OtherBC/BS
TXE11428Medicare UPIN
TX8B8480OtherBC/BS