Individual
KENNETH L WAYMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6621 FANNIN ST, SUITE A3300, HOUSTON, TX 77030-2303
(832) 824-5815
Mailing address
6621 FANNIN ST, SUITE A3300, HOUSTON, TX 77030-2303
(832) 824-5815
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
114782
CA
207LP3000X
Pediatric Anesthesiology Physician
Primary
BP10045674
TX
390200000X
Student in an Organized Health Care Education/Training Program
TL3375
CO
Other
Enumeration date
06/17/2009
Last updated
04/11/2014
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