GENESIS LICONA

HOUSTON, TX
NPI1871949248
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: TX  T7286)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: TN  59388)
Enumeration Date2016-05-04
Last Update Date2022-06-19
Business Address
GENESIS LICONA MD
1 BAYLOR PLZ
HOUSTON, TX 77030-3411
Phone number: 713-873-6017
Mailing Address
GENESIS LICONA MD
6621 FANNIN MC: W6104
HOUSTON, TX 77030-2358
Phone number: 713-873-6017