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NPI Code Detail

MEDICARE: DR. PETER RAYMOND KVAPIL M.D.

MEDICARE:  DR. PETER RAYMOND KVAPIL  M.D.
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
1207RG0100XGastroenterology PhysicianL4028TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00244586OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30012MPOTHERTXBCBS

General Provider Information

NPI Number : 1023093481
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER RAYMOND KVAPIL M.D.
Provider Business Mailing Address
First Line : 129 VISION PARK BLVD
Second Line : # 307
City : SHENANDOAH
State : TX
Zip : 77384-3001
Country : US
Telephone Number : 936-321-5440
Fax Number : 936-271-2606
Provider Business Practice Location Address
First Line : 129 VISION PARK BLVD
Second Line : # 307
City : SHENANDOAH
State : TX
Zip : 77384-3001
Country : US
Telephone Number : 936-321-5440
Fax Number : 936-271-2606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 01/11/2017

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Directions to “ DR. PETER RAYMOND KVAPIL M.D.” Practice Location

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