Healthcare Provider Details

I. General information

NPI: 1841290715
Provider Name (Legal Business Name): KIRSTEN LENTSCH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 12/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 SOUTH MASON RD
KATY TX
77450
US

IV. Provider business mailing address

3030 SOUTH MASON RD
KATY TX
77450
US

V. Phone/Fax

Practice location:
  • Phone: 281-395-4300
  • Fax:
Mailing address:
  • Phone: 281-395-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberL2410
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: