Boutros P. Kahla, M.D., P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BOUTROS P. KAHLA, M.D., P.A.

Practice address

4201 Garth Rd
Ste 313
Baytown, TX 77521-3156

Phone

(281) 428-4001

Fax

(281) 428-4044

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Boutros P Kahla, M.D.

Title

Owner

Phone

(281) 428-4001

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1730399668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 GARTH RD",
            "address_2": "STE 313",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213156",
            "telephone_number": "281-428-4001",
            "fax_number": "281-428-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 GARTH RD",
            "address_2": "STE 313",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213156",
            "telephone_number": "281-428-4001",
            "fax_number": "281-428-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUTROS P. KAHLA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "KAHLA",
        "authorized_official_first_name": "BOUTROS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-428-4001",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0064PV",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189686201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• George Bouchebl
• Destiny Boutain, PHARMD
• Elizabeth Bowden, LPC-A
• Chara Bowie, LPC
• Gina Bracco, PT
• Amy E Braun, PHARM.D.
• Katherine Ellis Bretherton, OTR

• Surgery Physician in Baytown, TX
• Providers in Baytown, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.