Individual
ANNIE JOLEEN KAYANICKUPURAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7600 FANNIN ST, HOUSTON, TX 77054-1906
(713) 791-7180
Mailing address
7600 FANNIN ST, HOUSTON, TX 77054-1906
(713) 791-7180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q1842
TX
Other
Enumeration date
07/12/2012
Last updated
03/29/2019
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