South Katy Medical Clinic, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTH KATY MEDICAL CLINIC, P.A.

Practice address

22028 Highland Knolls
BLDG #D
Katy, TX 77450-5859

Phone

(281) 395-6996

Fax

(281) 395-6919

NPI assigned

Mar 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin Edward Kendall, M.D.NPI 1639356819

Title

Medical Doctor

Phone

(281) 395-6996

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Kendall, M.D.

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1639356819
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1477685485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22028 HIGHLAND KNOLLS DR",
            "address_2": "BLDG. #D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505859",
            "telephone_number": "281-395-6996",
            "fax_number": "281-395-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22028 HIGHLAND KNOLLS",
            "address_2": "BLDG #D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505859",
            "telephone_number": "281-395-6996",
            "fax_number": "281-395-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH KATY MEDICAL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "281-395-6996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS TEXAS",
            "identifier": "00012T",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149260501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Soth
• George Soto
• Kacee A. Soto, LPC
• Sound Health Practice LLC
• South Healthcare Management Inc.
• South Mason Road Pharmacy
• South Peek Dental Care PLLC
• South Texas Children and Family Services
• South Texas Children and Family Services
• South Texas Rdi Group LLC

• Internal Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.