Organization
MEMORIAL NW OTOLARYNGOLOGY HEAD & NECK SURGERY ASSOCIATES
Active
Other names
Memorial Village Sinus and Hearing, Memorial Village ENT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONRAD KYLE MCCUTCHEON M.D. (OWNER)
(281) 822-3777
Entity
Organization
Contact information
Practice address
9055 KATY FWY, SUITE 415, HOUSTON, TX 77024-1624
(281) 822-3777
(281) 822-3776
Mailing address
9055 KATY FWY, SUITE 415, HOUSTON, TX 77024-1624
(281) 822-3777
(281) 822-3776
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00575U
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/24/2006
Last updated
11/03/2021
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