Provider Demographics
NPI:1770013724
Name:CONKIN KAMINSKI, RACHEL (MD, MBA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:CONKIN KAMINSKI
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24968 KATY RANCH RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3402
Mailing Address - Country:US
Mailing Address - Phone:346-998-5000
Mailing Address - Fax:
Practice Address - Street 1:24968 KATY RANCH RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3402
Practice Address - Country:US
Practice Address - Phone:346-998-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK34038207R00000X, 208000000X, 207R00000X
TXT9898208000000X, 207RS0010X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics