Individual
CAITLYN MARIE KOHAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-0848
(823) 355-2666
Mailing address
6720 BERTNER AVE, HOUSTON, TX 77030-0848
(823) 355-2666
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
32698117
TX
367H00000X
Anesthesiologist Assistant
39
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2022
Last updated
05/07/2023
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