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Individual

KRISTIN KASSAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4349 MARTIN LUTHER KING BLVD., SUITE 1001 E , HEALTH 2 BLDG, HOUSTON, TX 77204-3074
(713) 743-9682
(713) 743-1049
Mailing address
4349 MARTIN LUTHER KING BLVD., SUITE 1001 E , HEALTH 2 BLDG, HOUSTON, TX 77204-3074
(713) 743-9682
(713) 743-1049

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K7779
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145915801
TX
Enumeration date
10/17/2006
Last updated
08/03/2022
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