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NPI Code Detail

MEDICARE: KERY L. FEFERMAN M.D.

MEDICARE: KERY L. FEFERMAN 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
1207L00000XAnesthesiology PhysicianM7967TX
2207LP2900XPain Medicine (Anesthesiology) PhysicianM7967TX
3208VP0014XInterventional Pain Medicine PhysicianM7967TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811172620
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERY L. FEFERMAN M.D.
Provider Business Mailing Address
First Line : 4107 SPICEWOOD SPRINGS RD STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78759-8645
Country : US
Telephone Number : 512-397-3360
Fax Number : 123-437-1075
Provider Business Practice Location Address
First Line : 4107 SPICEWOOD SPRINGS RD STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78759-8645
Country : US
Telephone Number : 512-139-7336
Fax Number : 512-343-7107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2007
Last Update Date : 01/19/2023

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Directions to “ KERY L. FEFERMAN M.D.” Practice Location

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