Healthcare Provider Details
I. General information
NPI: 1598095184
Provider Name (Legal Business Name): KENDRA E OATES APRN-CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/05/2010
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7500 FANNIN ST STE 260
HOUSTON TX
77054-1990
US
IV. Provider business mailing address
6620 MAIN ST SUITE H1300
HOUSTON TX
77030-2331
US
V. Phone/Fax
- Phone: 832-357-9909
- Fax:
- Phone: 713-797-1144
- Fax: 832-825-7776
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | RN145552 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | 784499 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: