Kim E Pershall Md Pa in Lubbock - Otolaryngology
Kim E Pershall Md Pa - NPI 1649456542
Kim E Pershall Md Pa is a Otolaryngology in Lubbock, Texas. Kim E Pershall Md Pa practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Kim E Pershall Md Pa is 1649456542. The last update date is 2011-01-31.
Kim E Pershall Md Pa's current location address is 3811 24th Street, Lubbock, Texas. You can contact this provider via phone number 8067960202 and fax number 8067960496. The mailing address for Kim E Pershall Md Pa is 3811 24th Street, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kim E Pershall Md Pa |
|---|---|
| Address | 3811 24th Street, Lubbock, Texas |
| Phone Number | 8067960202 |
| Fax Number | 8067960496 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Pershall E. Kim |
| Credentials | MD |
| Telephone Number | 8067960202 |
NPI Number Detail
| NPI Number | 1649456542 |
|---|---|
| Provider Enumeration Date | 2008-01-10 |
| Last Updated Date | 2011-01-31 |
Provider Mailing Address Detail
| Address | 3811 24th Street |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794101813 |
| Phone Number | 8067960202 |
| Fax Number | 8067960496 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | J3574 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121351100 | TX | FIRSTCARE | |
| 34333701 | TX | -- | |
| 148127701 | TX | MEDICAID GROUP | |
| 40007969 | TX | RR MEDICARE | |
| 37234 | NM | -- | |
| 8P8420 | TX | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kim E Pershall Md Pa by the Centers for Medicare & Medicaid Services?
The Kim E Pershall Md Pa has been issued the NPI (National Provider Identifier) 1649456542 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kim E Pershall Md Pa's facilities are situated?
The facilities of Kim E Pershall Md Pa are physically located at the following address: 3811 24Th Street, Lubbock, TX, 794101813.
What is the Kim E Pershall Md Pa's specialty and taxonomy code?
The Kim E Pershall Md Pa's specialty is Otolaryngology, and the corresponding taxonomy code is 207Y00000X.
When did Kim E Pershall Md Pa receive its 1649456542 assignment?
The Kim E Pershall Md Pa was assigned its 1649456542 on 2008-01-10, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Kim E Pershall Md Pa last refreshed?
The information related to the Kim E Pershall Md Pa, including its address, specialty, and other relevant details, was last updated on 2011-01-31.