Individual
KEVIN D PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, 1200, HOUSTON, TX 77030-3000
(832) 325-7171
(713) 512-2212
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
L1692
TX
207YP0228X
Pediatric Otolaryngology Physician
Primary
L1692
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125231401
CSHCN
TX
05
—
125231404
—
TX
01
—
87X535
BCBS
TX
Enumeration date
06/16/2006
Last updated
02/11/2008
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