Individual
CARMILDRED MCKENSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 LA CONCHA LN, HOUSTON, TX 77054-1804
(346) 329-8088
(832) 553-3051
Mailing address
1550 LA CONCHA LN, HOUSTON, TX 77054-1804
(346) 329-8088
(832) 553-3051
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
462833101
—
TX
Enumeration date
11/14/2025
Last updated
11/14/2025
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