MEDICARE: DR. RONALD J KERR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	B63849	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063400463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD J KERR

Provider Business Mailing Address
First Line	:	7401 MAIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4509
Country	:	US
Telephone Number	:	713-799-2300
Fax Number	:	713-794-3380

Provider Business Practice Location Address
First Line	:	900 ROCKMEAD DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77339-2115
Country	:	US
Telephone Number	:	281-359-5115
Fax Number	:	281-359-2811

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	11/19/2008

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