# EP DESCANT II MDPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790703585
- **Authorized official:** MRS. PAULETTE KOHLER (OFFICE MANAGER)
- **Authorized official phone:** (281) 351-7127

## Contact information

- **Practice address:** 909 GRAHAM DR, SUITE D, TOMBALL, TX 77375-6473
- **Practice address phone:** (281) 351-7127
- **Practice address fax:** (281) 255-9140
- **Mailing address:** 909 GRAHAM DR, SUITE D, TOMBALL, TX 77375-6473
- **Mailing address phone:** (281) 351-7127
- **Mailing address fax:** (281) 255-9140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 11/06/2007