| Killeen Family Health And Urgent Care, Pa | |
|
4520 E Central Texas Expy Ste 101 Killeen TX 76543-5276 | |
| (254) 200-9355 | |
| (254) 200-9356 |
| Full Name | Killeen Family Health And Urgent Care, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4520 E Central Texas Expy, Killeen, Texas |
| Authorized Official Name and Position | Thikra J Kadhim (OWNER) |
| Authorized Official Contact | 2542009355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Killeen Family Health And Urgent Care, Pa Po Box 938 Killeen TX 76540-0938 Ph: (254) 634-6999 | Killeen Family Health And Urgent Care, Pa 4520 E Central Texas Expy Ste 101 Killeen TX 76543-5276 Ph: (254) 200-9355 |
| NPI Number | 1306887104 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2466476148 |
|---|---|
| Medicare Enrollment ID | O20060120000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306887104 | NPI | - | NPPES |
| 0017NE | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Thikra J Kadhim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477507077 PECOS PAC ID: 0547284226 Enrollment ID: I20060120000448 |
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