Organization
IHN MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENCHION STONUM (CEO)
(281) 337-3656
Entity
Organization
Contact information
Practice address
5018 CASA GRANDE ST, DICKINSON, TX 77539-7505
(281) 337-3656
Mailing address
PO BOX 907, DICKINSON, TX 77539-0907
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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