MEDICARE: KAYLEE HESTER PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1972231298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLEE HESTER PA

Provider Business Mailing Address
First Line	:	6431 FANNIN STREET
Second Line	:	JJL 270
City	:	HOUSTON
State	:	TX
Zip	:	77030-5400
Country	:	US
Telephone Number	:	713-500-7885
Fax Number	:	713-500-0625

Provider Business Practice Location Address
First Line	:	5656 KELLEY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77026-1975
Country	:	US
Telephone Number	:	713-566-5100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2022
Last Update Date	:	09/06/2022

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Directions to “ KAYLEE HESTER PA” Practice Location

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