Individual
KEVIN R MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4780 N JOSEY LN, CARROLLTON, TX 75010-4615
(972) 492-1334
(972) 492-5174
Mailing address
4780 N JOSEY LN, CARROLLTON, TX 75010-4615
(972) 492-1334
(972) 492-5174
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
Q5505
TX
208600000X
Surgery Physician
MD.34159
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3609836-01
—
TX
Enumeration date
01/19/2011
Last updated
05/11/2017
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