Emmett D. Mckenzie
Pediatric Surgery
6621 Fannin St Wt91345h
Houston
, Texas 77030-2303
Emmett D. Mckenzie
Pediatric Surgery
6621 Fannin St Wt91345h
Houston
, Texas 77030-2303
(713) 798-1144
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Emmett D. Mckenzie
- 2 Greenway Plz Suite 900
- Houston, TX
- Zip : 77046-0297
- Fax : (713) 798-1144
- Phone : (713) 798-1750
Second Address
- Emmett D. Mckenzie
- 6621 Fannin St Wt91345h
- Houston, TX
- Zip : 77030-2303
- Fax : (832) 825-1905
- Phone : (832) 826-5712
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | J2198 | TX |
National Provider Identifier
| NPI | 1164502571 |
|---|---|
| Provider Name | Emmett D. Mckenzie |
| First Address | Houston, TX 77046-0297 |
| Second Address | Houston, TX 77030-2303 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 23/09/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 146950401 | (05) | TX |
| 160054727 | RR MEDICARE (01) | |
| F31316 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.