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Individual

EMMETT D. MCKENZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6621 FANNIN ST, WT91345H, HOUSTON, TX 77030-2303
(832) 826-5712
(832) 825-1905
Mailing address
2 GREENWAY PLZ, SUITE 900, HOUSTON, TX 77046-0297
(713) 798-1750
(713) 798-1144

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
J2198
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146950401
TX
01
160054727
RR MEDICARE
Enumeration date
10/17/2006
Last updated
07/11/2023
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