Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | J5657 | TX |
NPI | 1891731303 |
---|---|
Provider Name | Kevin Varner |
First Address | Houston, TX 77030-2717 |
Second Address | Houston, TX 77030-2717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 04/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
128871411 | (05) | TX |
128871412 | (05) | TX |
128871413 | (05) | TX |
601771109 | US DEPT OF LABOR (01) | |
610197300 | US DEPT OF LABOR (01) | TX |
616771101 | US DEPT OF LABOR (01) | |
616771105 | US DEPT OF LABOR (01) | |
616771110 | US DEPT OF LABOR (01) | |
8S9719 | BLUE CROSS BLUE SHIELD (01) | TX |
P00241740 | RAILROAD MEDICARE (01) | TX |
P01089608 | RR MEDICARE (01) | TX |
P01337846 | RR MEDICARE (01) | TX |