Healthcare Provider Details
I. General information
NPI: 1912641614
Provider Name (Legal Business Name): KURRUN SINGH SEKHON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/27/2022
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7877 WILLOW CHASE BLVD
HOUSTON TX
77070-5934
US
IV. Provider business mailing address
2102 TREASURE HILLS BLVD
HARLINGEN TX
78550-8736
US
V. Phone/Fax
- Phone: 832-869-4818
- Fax: 832-241-2902
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | V3105 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: