| Kallal Medical Group | |
|
240 N Rufe Snow Dr Keller TX 76248-4226 | |
| (817) 431-0606 | |
| (817) 379-0155 |
| Full Name | Kallal Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 240 N Rufe Snow Dr, Keller, Texas |
| Authorized Official Name and Position | Kevin J Kallal (OWNER/PRESIDENT) |
| Authorized Official Contact | 8174310606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kallal Medical Group 5015 Fort Ave Waco TX 76710-5828 Ph: (817) 431-0606 | Kallal Medical Group 240 N Rufe Snow Dr Keller TX 76248-4226 Ph: (817) 431-0606 |
| NPI Number | 1891965505 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 12/19/2019 |
| Medicare PECOS PAC ID | 2365698586 |
|---|---|
| Medicare Enrollment ID | O20120803000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891965505 | NPI | - | NPPES |
| 1861408205 | Other | TX | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H7766 (Texas) | Primary |
| Provider Name | Kevin J Kallal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861408205 PECOS PAC ID: 2860497690 Enrollment ID: I20060928000460 |
Thousand Sunny Healthcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 891 Keller Pkwy Ste 101, Keller, TX 76248 Phone: 682-564-1121 Fax: 682-564-1036 | |
First Keller Healthcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 891 E. Keller Pkwy Ste 101, Keller, TX 76248 Phone: 682-593-4273 Fax: 682-307-4300 | |
Bluebonnet Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Johnson Rd, Suite 201, Keller, TX 76248 Phone: 214-799-5878 | |
Dfw Medical Pain & Rehab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Rufe Snow Dr, 120, Keller, TX 76248 Phone: 817-656-1615 Fax: 817-428-0573 | |
William Musgrave Mht Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Rufe Snow Dr, Keller, TX 76248 Phone: 855-860-2109 | |
Allied Physical Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Rufe Snow Dr Ste 120, Keller, TX 76248 Phone: 214-547-7234 Fax: 214-547-7236 | |
Visiting Angels Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5349 Sonoma Drive, Keller, TX 76248 Phone: 817-741-7474 Fax: 817-741-7482 |