South Katy Medical Clinic, P.A.

LBN: South Katy Medical Clinic, P.A.
South Katy Medical Clinic, P.A. is an health care organization with primary practice located at 22028 Highland Knolls Bldg #D, Katy TX 77450-5859. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. South Katy Medical Clinic, P.A. can be contacted via phone (281) 395-6996, or through Kendall, Kevin Edward via phone (281) 395-6996.

Contact Information

Primary practice address
22028 Highland Knolls Bldg #D Katy TX 77450-5859
Phone: (281) 395-6996
Fax: (281) 395-6919
Website:
Map and Directions
Authorized official contact:
Name: Kendall, Kevin Edward Doctor of Medicine (MD)
Phone: (281) 395-6996

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1477685485
LBN Legal business name South Katy Medical Clinic, P.A.
DBA Doing business as
Authorized official Kendall, Kevin Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Jul 11th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477685485 NPPES
Texas Other 00012T BC/BS TEXAS
Texas MEDICAID 149260501 BC/BS TEXAS

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