Provider Demographics
NPI:1417206772
Name:SOWARDS, KENDELL JEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:KENDELL
Middle Name:JEAN
Last Name:SOWARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22751 PROFESSIONAL DR STE 120
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-6022
Mailing Address - Country:US
Mailing Address - Phone:281-312-4838
Mailing Address - Fax:
Practice Address - Street 1:22751 PROFESSIONAL DR STE 120
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-6022
Practice Address - Country:US
Practice Address - Phone:281-312-4838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-02
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXR2231208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX373183803Medicaid