Individual
CRAIG ALAN AUTHEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6431 FANNIN ST STE MSB 3151, HOUSTON, TX 77030-1501
(713) 500-5800
(713) 500-5805
Mailing address
6621 FANNIN ST, HOUSTON, TX 77030-2399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP1-0064433
TX
2080P0210X
Pediatric Nephrology Physician
BP2-0073708
TX
2080P0210X
Pediatric Nephrology Physician
Primary
U5635
TX
Other
Enumeration date
04/03/2018
Last updated
05/28/2024
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