Individual
KNOELLE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2300 OLD SPANISH TRL APT 2052, HOUSTON, TX 77054-2142
(972) 821-2061
Mailing address
2300 OLD SPANISH TRL APT 2052, HOUSTON, TX 77054-2142
(972) 821-2061
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
T2036
TX
Other
Enumeration date
03/22/2017
Last updated
01/04/2022
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