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147 Elmhurst Ste 200 Kyle TX 78640-6119 | |
| (512) 268-2929 | |
| (512) 268-2930 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 147 Elmhurst, Kyle, Texas |
| Authorized Official Name and Position | Kanakadurga Govindaraju (OWNER) |
| Authorized Official Contact | 5122682929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
147 Elmhurst Ste 200 Kyle TX 78640-6119 Ph: (512) 268-2929 | 147 Elmhurst Ste 200 Kyle TX 78640-6119 Ph: (512) 268-2929 |
| NPI Number | 1235463993 |
|---|---|
| Provider Enumeration Date | 09/29/2009 |
| Last Update Date | 12/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235463993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L3318 (Texas) | Primary |
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