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Individual

KATHLEEN R. LISCUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-8890
(713) 873-8898
Mailing address
2 GREENWAY PLZ, SUITE 910, HOUSTON, TX 77046-0297
(713) 798-1750
(713) 798-1144

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J3680
TX

Other

Enumeration date
10/12/2006
Last updated
02/27/2008
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