Individual
DR. STEVEN KYLE PERILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 824-1000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J4430
TX
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
J4430
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
J4430
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L42V
BCBSTX GRP PIN
TX
01
—
10022295
AMERIGROUP PIN
TX
01
—
108867
SUPERIOR PIN
TX
01
—
121320100
FIRSTCARE PIN
TX
05
—
134992007
—
TX
05
—
134992008
—
TX
05
—
137283103
—
TX
05
—
137345805
—
TX
01
—
1415257
UHC PIN
TX
01
—
1669442042
GRP NPI NUMBER
—
01
—
1854186
FIRSTHEALTH PIN
TX
01
—
4731603
CIGNA PIN
TX
01
—
5040636
AETNA PIN
TX
01
—
88629X
BCBSTX IND PIN
TX
Enumeration date
09/16/2006
Last updated
06/21/2024
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