Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 254909 | MA |
Y | 207RH0002X | Hospice and Palliative Medicine | Q1662 | TX |
N | 2080P0203X | Pediatric Critical Care Doctor | A78737 | CA |
NPI | 1306931241 |
---|---|
Provider Name | Kevin Madden |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030-4000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 04/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A787370 | (05) | CA |
342548001 (MDACC) | (05) | TX |
342548002 | CSHCN MEDICAID (01) | TX |
8ER498 (MDACC) | BCBS (01) | TX |
H96631 | (02) | CA |