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7585 Kitty Hawk Rd Ste 201 Converse TX 78109-2820 | |
(210) 468-2333 | |
(210) 667-4044 |
Full Name | |
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Speciality | Internal Medicine |
Location | 7585 Kitty Hawk Rd Ste 201, Converse, Texas |
Authorized Official Name and Position | Orlando Kypuros (OWNER) |
Authorized Official Contact | 2104682333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7585 Kitty Hawk Rd Ste 201 Converse TX 78109-2820 Ph: (210) 468-2333 | 7585 Kitty Hawk Rd Ste 201 Converse TX 78109-2820 Ph: (210) 468-2333 |
NPI Number | 1235809013 |
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Provider Enumeration Date | 09/14/2021 |
Last Update Date | 09/14/2021 |
Identifier | Type | State | Issuer |
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1235809013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |