Organization
BOUTROS P. KAHLA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOUTROS P KAHLA M.D. (OWNER)
(281) 428-4001
Entity
Organization
Contact information
Practice address
4201 GARTH RD, STE 313, BAYTOWN, TX 77521-3156
(281) 428-4001
(281) 428-4044
Mailing address
4201 GARTH RD, STE 313, BAYTOWN, TX 77521-3156
(281) 428-4001
(281) 428-4044
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064PV
BCBS
TX
05
—
189686201
—
TX
Enumeration date
05/22/2007
Last updated
09/12/2012
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