MEDICARE: KIMBERLY M WAASO D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	L6345	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8G4111	OTHER	TX	BCBSTX

General Provider Information

NPI Number	:	1346225018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY M WAASO D.O.

Provider Business Mailing Address
First Line	:	13276 BROOKFIELD LN
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77302-3471
Country	:	US
Telephone Number	:	936-441-5322
Fax Number	:	281-784-1522

Provider Business Practice Location Address
First Line	:	22999 HIGHWAY 59 N
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77339-4438
Country	:	US
Telephone Number	:	281-348-1301
Fax Number	:	281-348-1328

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	02/15/2008

Similar Medicare Providers

1740261825 — KENT I. KOSSOY
Practice Location Address:

22999 HIGHWAY 59 N , #188
HUMBLE, TX
77339-4438

Practice Phone: 281-358-6761
Practice Fax: 281-358-6742

1124098926 — ROBERT E SUTER SR. D.O.
Practice Location Address:

22999 HIGHWAY 59 N
HUMBLE, TX
77339-4438

Practice Phone: 281-348-1301
Practice Fax: 281-348-1328

1497725204 — JOHN M QUINN MD
Practice Location Address:

22999 HIGHWAY 59 N
HUMBLE, TX
77339-4438

Practice Phone: 281-348-1301
Practice Fax: 281-348-1328

1437129079 — RANDALL J SHARER MD
Practice Location Address:

22999 HIGHWAY 59 N
HUMBLE, TX
77339-4438

Practice Phone: 281-348-1301
Practice Fax: 281-348-1328

1588614291 — HOUSTON NORTHEAST ALLERGY, P. A.
Practice Location Address:

22999 HIGHWAY 59 N , SUITE #290
HUMBLE, TX
77339-4438

Practice Phone: 281-348-3321
Practice Fax: 281-348-3305

1639109291 — GEORGE MANLONGAT MD
Practice Location Address:

22999 HIGHWAY 59 N , 194
HUMBLE, TX
77339-4438

Practice Phone: 281-359-1190
Practice Fax: 281-359-1540

Directions to “ KIMBERLY M WAASO D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.