Individual
KEMBA BAKER BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15655 CYPRESSWOODS MEDICAL DR, SUITE 100, HOUSTON, TX 77014-1471
(713) 442-1700
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M6032
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186601401
—
TX
05
—
186601402
—
TX
Enumeration date
05/17/2007
Last updated
12/09/2016
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