Individual
KERY L. FEFERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4107 SPICEWOOD SPRINGS RD STE 100, AUSTIN, TX 78759-8645
(512) 139-7336
(512) 343-7107
Mailing address
4107 SPICEWOOD SPRINGS RD STE 100, AUSTIN, TX 78759-8645
(512) 397-3360
(123) 437-1075
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M7967
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
M7967
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
M7967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2045015-08
—
TX
05
—
204501503
—
TX
05
—
204501504
—
TX
Enumeration date
12/31/2007
Last updated
01/19/2023
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