William Kissam

NPI 1356641070 · on the registry since 2010 · sole proprietor

Practice

Address: 11510 Homestead Rd
Houston, TX 77016
Phone: (281) 449-3233
Fax: (281) 449-3230
Organisation at this address: Parker Place Cpw
New Wave Evolution Llc
Cdj Caring Does Justice Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas