Healthcare Provider Details

I. General information

NPI: 1487853446
Provider Name (Legal Business Name): VINCENT KAU MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 09/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12121 RICHMOND AVE SUITE 110
HOUSTON TX
77082-2432
US

IV. Provider business mailing address

12121 RICHMOND AVE SUITE 110
HOUSTON TX
77082-2432
US

V. Phone/Fax

Practice location:
  • Phone: 281-558-5558
  • Fax: 281-556-5457
Mailing address:
  • Phone: 281-558-5558
  • Fax: 281-556-5457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberM1819
License Number StateTX

VIII. Authorized Official

Name: DR. VINCENT WEN KAU
Title or Position: PRESIDENT
Credential: MD
Phone: 281-558-5558