Organization
KRB ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN RYAN BAKER (C.E.O)
(832) 814-3987
Entity
Organization
Contact information
Practice address
11830 FM 1960 RD W, HOUSTON, TX 77065-3840
(832) 814-3987
Mailing address
4321 KINGWOOD DR, SUITE 143, KINGWOOD, TX 77339-3700
(832) 814-3987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F1792
TX
207RC0000X
Cardiovascular Disease Physician
Primary
K8496
TX
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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