Kevin P Lally
Surgeon Pediatric Surgery Surgical Critical Care
6410 Fannin St 1400
Houston
, Texas 77030-3000
Kevin P Lally
Surgeon Pediatric Surgery Surgical Critical Care
6410 Fannin St 1400
Houston
, Texas 77030-3000
(713) 500-3500
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Kevin P Lally
- Po Box 201088
- Houston, TX
- Zip : 77216-1088
- Phone : (713) 500-3500
Second Address
- Kevin P Lally
- 6410 Fannin St 1400
- Houston, TX
- Zip : 77030-3000
- Fax : (713) 512-2221
- Phone : (832) 325-7234
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | H9668 | TX |
| N | 208600000X | Surgeon | H9668 | TX |
| N | 2086S0102X | Surgical Critical Care | H9668 | TX |
| Y | 2086S0120X | Pediatric Surgery | H9668 | TX |
National Provider Identifier
| NPI | 1013949635 |
|---|---|
| Provider Name | Kevin P Lally |
| First Address | Houston, TX 77216-1088 |
| Second Address | Houston, TX 77030-3000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2006 |
| Last Update Date | 06/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 137118901 | CSHCN (01) | TX |
| 137118905 | (05) | TX |
| 81Z193 | BCBS (01) | TX |
| E92355 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.