Healthcare Provider Details

I. General information

NPI: 1851172126
Provider Name (Legal Business Name): KIAM HONG PICADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2023
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 FANNIN ST STE 1101
HOUSTON TX
77030-2740
US

IV. Provider business mailing address

6550 FANNIN ST STE 1101
HOUSTON TX
77030-2740
US

V. Phone/Fax

Practice location:
  • Phone: 713-441-3948
  • Fax:
Mailing address:
  • Phone: 713-441-3948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA17312
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: