Organization
FAST TRACK MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KESSINGTON ENAYE OKUNDAYE PHD (MANAGING PARTNER)
(818) 571-8708
Entity
Organization
Contact information
Practice address
3810 VINSON RANCH LN, KATY, TX 77494-3754
(818) 571-8708
Mailing address
3810 VINSON RANCH LN, KATY, TX 77494-3754
(818) 571-8708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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