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Organization
SOUTH KATY MEDICAL CLINIC, P.A.
Active
Organization
SOUTH KATY MEDICAL CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN EDWARD KENDALL M.D. (MEDICAL DOCTOR)
(281) 395-6996
Entity
Organization
Contact information
Practice address
22028 HIGHLAND KNOLLS, BLDG #D, KATY, TX 77450-5859
(281) 395-6996
(281) 395-6919
Mailing address
22028 HIGHLAND KNOLLS DR, BLDG. #D, KATY, TX 77450-5859
(281) 395-6996
(281) 395-6919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00012T
BC/BS TEXAS
TX
05
—
149260501
—
TX
Enumeration date
03/12/2007
Last updated
07/11/2012
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