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Dr. Kim E Pershall, MD
Otolaryngic Allergy Physician in Lubbock, Texas
NPI 1497751663

Kim E Pershall is a Otolaryngic Allergy Physician based in Lubbock, TX and is specialized in Otolaryngic Allergy. Kim E Pershall practices in Lubbock, TX and has the professional credentials of MD. The NPI Number for Kim E Pershall is 1497751663 and holds a License No. J3574 (Texas).

The current practice location address for Kim E Pershall is 3811 24Th Street, Lubbock, TX and can be reached out via phone at 806-796-0202 and via fax at 806-796-0496.

Location: 3811 24Th Street, Lubbock, TX, 79410-1813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497751663
Provider Name
Kim E Pershall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3811 24Th Street, Lubbock, TX, 79410-1813
Phone Number
806-796-0202
Fax Number
806-796-0496
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
121351100 01 TX FIRSTCARE
034333701 05 TX
8P8420 01 TX BCBS TX
37234 05 NM
8F21125 01 TX MEDICARE PTAN
148127701 01 TX MEDICAID GROUP
040007969 01 TX RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3811 24Th Street
City
Lubbock
State
Texas
Zip
79410-1813
Phone Number
806-796-0202
Fax Number
806-796-0496
person
Provider Business Mailing Address Details
Address
3811 24Th Street
City
Lubbock
State
Texas
Zip
79410-1813
Phone Number
806-796-0202
Fax Number
806-796-0496
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
J3574 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
J3574 (Texas)
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 and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
86103 (New Mexico)
Definition
An otolaryngologist who specializes in facial plastic surgery.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngic Allergy
Taxonomy
207YX0602X
License No.
J3574 (Texas)
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
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