Individual
AVERY ANNE DAUPHINAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(832) 824-1000
Mailing address
6621 FANNIN ST # MCW1998, HOUSTON, TX 77030-2399
(832) 828-3600
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
PA16482
TX
363A00000X
Physician Assistant
Primary
PA16482
TX
Other
Enumeration date
03/31/2023
Last updated
05/09/2023
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