Provider Demographics
NPI:1407142078
Name:KINCAID, MICHELE RAE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:RAE
Last Name:KINCAID
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MICHELE
Other - Middle Name:RAE
Other - Last Name:HYNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4606 FM 1960 RD W STE 250
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-4617
Mailing Address - Country:US
Mailing Address - Phone:281-315-1300
Mailing Address - Fax:281-315-1301
Practice Address - Street 1:4606 FM 1960 RD W STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4617
Practice Address - Country:US
Practice Address - Phone:281-315-1300
Practice Address - Fax:281-315-1301
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42798183500000X
FLPS51659183500000X
AL14480183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist