Provider Demographics
NPI:1841354024
Name:INZER, KERRY (DO)
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:
Last Name:INZER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6911 MAPLE CREEK LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-2738
Mailing Address - Country:US
Mailing Address - Phone:214-500-0341
Mailing Address - Fax:972-494-2046
Practice Address - Street 1:2046 FOREST LN STE 180
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-7939
Practice Address - Country:US
Practice Address - Phone:972-494-1419
Practice Address - Fax:972-494-2069
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH56702083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine