Organization
KENNETH R FIRST MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R FIRST MD (OWNER)
(281) 335-1111
Entity
Organization
Contact information
Practice address
1100 HERCULES AVE, SUITE 100, HOUSTON, TX 77058-2720
(281) 335-1111
(281) 286-3392
Mailing address
1100 HERCULES AVE, SUITE 100, HOUSTON, TX 77058-2720
(281) 335-1111
(281) 286-3392
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0078195
DPS
TX
Enumeration date
05/20/2011
Last updated
03/07/2023
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