Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | R5898 | TX |
NPI | 1023437076 |
---|---|
Provider Name | Jennifer Robicheaux Mckinney |
First Address | Houston, TX 77030-2351 |
Second Address | Houston, TX 77030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2014 |
Last Update Date | 25/08/2021 |