Provider Demographics
NPI:1447489364
Name:ESTRERA, KENNETH ANDREW (MD)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:ANDREW
Last Name:ESTRERA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3533 MATLOCK RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-3604
Mailing Address - Country:US
Mailing Address - Phone:817-419-0303
Mailing Address - Fax:817-468-5963
Practice Address - Street 1:11000 FRISCO ST STE 200
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-2033
Practice Address - Country:US
Practice Address - Phone:174-190-3038
Practice Address - Fax:833-626-1951
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2023-10-03
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Provider Licenses
StateLicense IDTaxonomies
TXP3621207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery