Individual
KIMBERLY M HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6701 FANNIN ST STE 950, HOUSTON, TX 77030-2611
(832) 822-5046
(832) 825-3504
Mailing address
3333 WESLAYAN ST APT 1348, HOUSTON, TX 77027-6380
(310) 913-4000
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
Q8509
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Q8509
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10039700
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10039700
TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING PERMIT
TX
01
—
Q8509
TEXAS MEDICAL BOARD
TX
Enumeration date
06/04/2011
Last updated
09/16/2024
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