Individual
DR. CONRAD KYLE MCCUTCHEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9055 KATY FWY, SUITE 415, HOUSTON, TX 77024-1624
(281) 822-3777
(281) 822-3776
Mailing address
9055 KATY FWY, SUITE 415, HOUSTON, TX 77024-1624
(281) 822-3777
(281) 822-3776
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
H4534
TX
207YS0012X
Sleep Medicine (Otolaryngology) Physician
H4534
TX
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
H4534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8A2492
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/24/2006
Last updated
02/15/2022
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