MEDICARE: MR. JAMES HOYT KERN MD

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	174400000X	Specialist	G7833	TX
2	207V00000X	Obstetrics & Gynecology Physician	G7833	TX
3	207V00000X	Obstetrics & Gynecology Physician	G7388	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G7833	OTHER	TX	PHYSICIAN PERMIT

General Provider Information

NPI Number	:	1447289319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES HOYT KERN MD

Provider Business Mailing Address
First Line	:	20320 NORTHWEST FWY
Second Line	:	SUITE 400A
City	:	JERSEY VILLAGE
State	:	TX
Zip	:	77065-5641
Country	:	US
Telephone Number	:	281-599-8900
Fax Number	:	281-599-8815

Provider Business Practice Location Address
First Line	:	20320 NORTHWEST FWY
Second Line	:	SUITE 400A
City	:	JERSEY VILLAGE
State	:	TX
Zip	:	77065-5641
Country	:	US
Telephone Number	:	281-599-8900
Fax Number	:	281-599-8815

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

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	01/19/2015

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