P Praxis·MD
● Active Type 2 · Organization

Kim E Pershall MD PA

Otolaryngology·Lubbock, TX· NPI 1649456542 · Enumerated 2008 · 18 years on NPI
Kim E Pershall MD PA is 1 of 1024 otolaryngology organizations in Texas.
NPI age
18 years
Enumerated 2008-01-10
Primary specialty
Otolaryngology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pershall
Physician Owner
Last NPPES update
2011-01-31
Source: monthly bulk 2026-05

How this organization compares

Across 1024 active otolaryngology providers in Texas.

NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-01Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
3811 24th Street
Lubbock, TX 794101813
📞 8067960202fax 8067960496
Mailing address
3811 24th Street
Lubbock, TX 794101813
📞 8067960202fax 8067960496

Authorized official

Kim E. Pershall, MD
Physician Owner
📞 8067960202

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Otolaryngology Primary
    An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
    TX license #J3574 taxonomy 207Y00000X

Identifiers

TypeValueNotes
01 (TX) 121351100 FIRSTCARE
05 (TX) 034333701
01 (TX) 148127701 MEDICAID GROUP
01 (TX) 040007969 RR MEDICARE
05 (NM) 37234
01 (TX) 8P8420 BCBS

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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