Individual
KEROLLOS WANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
V4518
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10083386
TX
Other
Enumeration date
07/19/2023
Last updated
12/10/2024
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