Provider Demographics
NPI:1518449701
Name:ROMMENS, KENTON LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:KENTON
Middle Name:LEE
Last Name:ROMMENS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5353 MEMORIAL DR.
Mailing Address - Street 2:UNIT 1034
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007
Mailing Address - Country:US
Mailing Address - Phone:832-888-6798
Mailing Address - Fax:
Practice Address - Street 1:6400 FANNIN ST. SUITE 2850
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-486-5139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2019-04-24
Deactivation Date:2019-04-12
Deactivation Code:
Reactivation Date:2019-04-24
Provider Licenses
StateLicense IDTaxonomies
TXBP100652572086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery