Individual
PIETER G KOOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
5253 FANNIN ST APT 2606, HOUSTON, TX 77004-5875
(000) 000-0000
Mailing address
5253 FANNIN ST APT 2606, HOUSTON, TX 77004-5875
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
BP10076785
TX
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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