Provider Demographics
NPI:1669722492
Name:WOERNER, KYLE ROSS (MD)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:ROSS
Last Name:WOERNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6400 FANNIN ST
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1521
Mailing Address - Country:US
Mailing Address - Phone:719-486-5588
Mailing Address - Fax:713-486-5549
Practice Address - Street 1:6400 FANNIN ST
Practice Address - Street 2:SUITE 1700
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1521
Practice Address - Country:US
Practice Address - Phone:719-486-5588
Practice Address - Fax:713-486-5549
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2016-11-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXQ5738207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery