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Organization

PEDIATRIC EXECUTIVES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH PRATT (CEO)
(713) 432-7900
Entity
Organization

Contact information

Practice address
2646 S LOOP W, SUITE 400, HOUSTON, TX 77054-2665
(713) 432-7900
(713) 432-7902
Mailing address
2646 S LOOP W, SUITE 400, HOUSTON, TX 77054-2665
(713) 432-7900
(713) 432-7902

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
TX

Other

Enumeration date
12/10/2015
Last updated
07/21/2022
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