Individual
DR. KATHLEEN VANVORST INCAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5757 WOODWAY DR STE 155, HOUSTON, TX 77057-1514
(832) 699-7712
Mailing address
3913 TENNYSON ST, HOUSTON, TX 77005-2853
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
055950
NY
1223P0221X
Pediatric Dentistry
Primary
35643
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45330707
DRIVER LICENSE
TX
Enumeration date
07/01/2010
Last updated
05/20/2021
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