Individual
DR. MICHAEL DALE KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16811 SOUTHWEST FWY, SUGAR LAND, TX 77479
(281) 690-4678
Mailing address
16811 SOUTHWEST FWY, SUGAR LAND, TX 77479-4728
(281) 690-4678
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L4017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173822101
—
TX
05
—
173822102
—
TX
05
—
173822103
—
TX
05
—
173822104
—
TX
05
—
173822105
—
TX
01
—
3833196
AETNA HMO
TX
01
—
7095249
AETNA PPO
TX
01
—
8G9743
BCBS PIN
TX
Enumeration date
08/19/2005
Last updated
09/20/2018
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