| Kahtan A. Kaissi, Md | |
|
1300 Franklin Ave Nederland TX 77627-3949 | |
| (409) 722-3437 | |
| (409) 722-1281 |
| Full Name | Kahtan A. Kaissi, Md |
|---|---|
| Speciality | Clinic/center |
| Location | 1300 Franklin Ave, Nederland, Texas |
| Authorized Official Name and Position | Kahtan A. Kaissi (PHYSICIAN) |
| Authorized Official Contact | 4097223437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kahtan A. Kaissi, Md 1300 Franklin Ave Nederland TX 77627-3949 Ph: (409) 722-3437 | Kahtan A. Kaissi, Md 1300 Franklin Ave Nederland TX 77627-3949 Ph: (409) 722-3437 |
| NPI Number | 1932384435 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 08/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932384435 | NPI | - | NPPES |
| 8B4031 | Other | TX | BCBS PROVIDER ID NO. |
| 8B4030 | Other | TX | BCBS PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | K1491 (Texas) | Primary |
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