Individual
DR. TESSA A KINCADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
104 S FLAGSTONE PATH CIR, THE WOODLANDS, TX 77381-6620
(225) 329-8976
Mailing address
104 S FLAGSTONE PATH CIR, THE WOODLANDS, TX 77381-6620
(225) 329-8976
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21573
SC
207V00000X
Obstetrics & Gynecology Physician
MD202513
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215733
—
SC
01
—
H169717124
MEDICARE ID
SC
Enumeration date
03/17/2006
Last updated
10/03/2012
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