Healthcare Provider Details

I. General information

NPI: 1801235940
Provider Name (Legal Business Name): KESSEM RESEARCH AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2013
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2429 BISSONNET ST STE 468
HOUSTON TX
77005-1451
US

IV. Provider business mailing address

2429 BISSONNET ST STE 468
HOUSTON TX
77005-1451
US

V. Phone/Fax

Practice location:
  • Phone: 281-727-0011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberN0039
License Number StateTX

VIII. Authorized Official

Name: URI GEDALIA
Title or Position: OWNER
Credential: M.D.
Phone: 281-727-0011