Individual
KATHLEEN MUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6550 FANNIN ST STE 2221, HOUSTON, TX 77030-2722
(713) 797-9666
Mailing address
6550 FANNIN ST STE 2221, HOUSTON, TX 77030-2722
(713) 797-9666
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
BP10052489
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
S1465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405709301
—
TX
01
—
BP10052489
PHYSICIAN IN TRAINING
TX
Enumeration date
04/13/2015
Last updated
03/04/2020
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