Individual
MR. KYLE ADDCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1002 GEMINI ST, SUITE 128, HOUSTON, TX 77058-2746
(281) 218-9515
(281) 218-9534
Mailing address
1002 GEMINI ST, SUITE 128, HOUSTON, TX 77058-2746
(281) 218-9515
(281) 218-9534
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
785909
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP128366
TX
Other
Enumeration date
05/18/2015
Last updated
05/10/2017
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