Most Relevant Information
Provider Data
| NPI Number: | 1003691627 |
| Provider Name: | FATARAH KINNARD |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/30/2023 |
| Last Updated: | 08/30/2023 |
Provider Practice Location
10023 ELKWOOD GLEN LN
TOMBALL
TX
773751034
Practice Location Phone/Fax
| Phone: | 4797635653 |
| Fax: |
Provider Mailing Location
10023 ELKWOOD GLEN LN
TOMBALL
TX
773751034
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |