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Contact Information

KEVIN S HOMER, MD
11801 SOUTH FWY
BURLESON, TX76028-7021
 Phone: 817-293-4304
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for KEVIN S HOMER · (Male)

NPI Number 1891786976
Status Active
Credentials MD
Entity Individual
Enumeration date 10/28/2005
Last updated 09/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TX License # H8137
  • TX Medicaid 117966503
Hospital affiliation(s)
  • HUGULEY HEALTH SYSTEM - (Acute Care)
    11801 SOUTH FREEWAY
    BURLESON, TX 76028
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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