Individual
DR. KEVIN S HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11801 SOUTH FWY, BURLESON, TX 76028-7021
(817) 293-4304
Mailing address
PO BOX 879, BURLESON, TX 76097
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
H8137
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
H8137
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117966503
—
TX
Enumeration date
10/28/2005
Last updated
09/13/2024
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