Individual
KENNETH JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5206 FM 1960 RD W STE 100, HOUSTON, TX 77069-4405
(281) 919-2065
Mailing address
5206 FM 1960 RD W STE 100, HOUSTON, TX 77069-4405
(291) 919-2065
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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