Individual
AIMEE GRETCHEN KAKASCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6621 FANNIN ST STE 310, MC 2-1495, HOUSTON, TX 77030-2303
(832) 824-5900
(832) 825-5905
Mailing address
6621 FANNIN ST STE 310, MC 2-1495, HOUSTON, TX 77030-2303
(832) 824-5900
(832) 825-5905
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
19731
MS
207LP3000X
Pediatric Anesthesiology Physician
Primary
M9392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T1650
MEDICAL LICENSE NUMBER
MS
Enumeration date
06/28/2007
Last updated
05/24/2012
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