Individual
KIMBERLY M WAASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
22999 HIGHWAY 59 N, HUMBLE, TX 77339-4438
(281) 348-1301
(281) 348-1328
Mailing address
13276 BROOKFIELD LN, CONROE, TX 77302-3471
(936) 441-5322
(281) 784-1522
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L6345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8G4111
BCBSTX
TX
Enumeration date
12/14/2005
Last updated
02/15/2008
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