| Kallal Bros, Llc | |
|
1104 N Highway 377 Ste 200 Roanoke TX 76262-9124 | |
| (817) 915-1520 | |
| Not Available |
| Full Name | Kallal Bros, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1104 N Highway 377 Ste 200, Roanoke, Texas |
| Authorized Official Name and Position | John Kallal (MEMBER) |
| Authorized Official Contact | 8179151520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kallal Bros, Llc 220 Sorrel Trl Keller TX 76248-3117 Ph: (817) 915-1520 | Kallal Bros, Llc 1104 N Highway 377 Ste 200 Roanoke TX 76262-9124 Ph: (817) 915-1520 |
| NPI Number | 1780153734 |
|---|---|
| Provider Enumeration Date | 11/20/2018 |
| Last Update Date | 11/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780153734 | NPI | - | NPPES |
| H7766 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
First Med Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1212 N Highway 377 Ste 119, Roanoke, TX 76262 Phone: 682-831-1591 | |
Dfw Diabetic Relief Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 208 N Highway 377, Roanoke, TX 76262 Phone: 214-929-7827 | |
Rediclinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1228 N Highway 377, Roanoke, TX 76262 Phone: 866-607-7334 |