Individual
GAVIN PATRICK MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18951 N MEMORIAL DR STE 103W, HUMBLE, TX 77338-4217
(281) 540-8409
Mailing address
909 FROSTWOOD DR STE 1.100, HOUSTON, TX 77024-2301
(713) 338-6353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Q9865
TX
208M00000X
Hospitalist Physician
Primary
Q9865
TX
390200000X
Student in an Organized Health Care Education/Training Program
MT204596
PA
Other
Enumeration date
06/13/2013
Last updated
03/25/2020
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