Ponnapalli, Mackenzie
Ponnapalli, Mackenzie is an individual health care provider with primary practice located at 1331 W Grand Pkwy N Ste 130 , Katy TX 77493-2711. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Ponnapalli, Mackenzie can be contacted via phone (281) 392-3401.Contact Information
Primary practice address
1331 W Grand Pkwy N Ste 130
Katy TX 77493-2711
Phone: (281) 392-3401
Fax: (281) 392-7814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | 1012648 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 364SG0600X | 1012648 | Texas |
Profile Details
| NPI number | 1396331302 |
|---|---|
| LBN Legal business name | Ponnapalli, Mackenzie |
| Credentials | AG-CNS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2020 |
| Last updated | Jul 9th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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