Individual
MACKENZIE PONNAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-CNS
Contact information
Practice address
7200 CAMBRIDGE ST FL 6, HOUSTON, TX 77030-4202
(713) 798-2545
Mailing address
1331 W GRAND PKWY N STE 130, KATY, TX 77493-2711
(281) 646-9000
(281) 206-2311
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
1012648
TX
364SG0600X
Gerontology Clinical Nurse Specialist
1012648
TX
Other
Enumeration date
12/14/2020
Last updated
10/23/2025
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