Healthcare Provider Details

I. General information

NPI: 1114504081
Provider Name (Legal Business Name): KAITLYN NICOLE MCOSKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6620 MAIN ST STE 1300
HOUSTON TX
77030-2331
US

IV. Provider business mailing address

6620 MAIN ST STE 1300
HOUSTON TX
77030-2331
US

V. Phone/Fax

Practice location:
  • Phone: 713-797-1144
  • Fax:
Mailing address:
  • Phone: 713-797-1144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberW0665
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: