| Teka | |
|
100 Medical Center Blvd Ste 116 Conroe TX 77304-2821 | |
| (936) 666-1110 | |
| (936) 539-3334 |
| Full Name | Teka |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 100 Medical Center Blvd Ste 116, Conroe, Texas |
| Authorized Official Name and Position | Ajith Kuriakose (PRESIDENT) |
| Authorized Official Contact | 9362254222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teka 100 Medical Center Blvd Conroe TX 77304-2888 Ph: (936) 666-1110 | Teka 100 Medical Center Blvd Ste 116 Conroe TX 77304-2821 Ph: (936) 666-1110 |
| NPI Number | 1932406048 |
|---|---|
| Provider Enumeration Date | 02/25/2011 |
| Last Update Date | 10/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932406048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
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