Individual
KENMAKARA SOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4025 W FUQUA ST, HOUSTON, TX 77045-6303
(800) 298-3948
(888) 331-4002
Mailing address
2731 SKYVIEW POINT DR, HOUSTON, TX 77047-8123
(832) 274-3059
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19442152
TX DRIVER'S LIC
TX
Enumeration date
09/22/2017
Last updated
09/22/2017
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