Individual
KIRBY DAVIS DESHOTELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6651 MAIN ST # MCE14, HOUSTON, TX 77030-2351
(337) 322-9432
Mailing address
6651 MAIN ST # MCE14, HOUSTON, TX 77030-2351
(337) 322-9432
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
S0865
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
S0865
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
04/11/2023
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