Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | S9480 | TX |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | S9480 | TX |
NPI | 1710226758 |
---|---|
Provider Name | Kevin James Contrera |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030-4000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2013 |
Last Update Date | 25/04/2021 |