KURAOKA CLINIC TEXAS PLLC NPI 1013463488

NPI Information

NPI: 1013463488
Provider Name: KURAOKA CLINIC TEXAS, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2115887

Address:
3012 E HEBRON PKWY STE 104
CARROLLTON, TX
ZIP 75010
Phone: (972) 306-0808
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KURAOKA CLINIC TEXAS, PLLC is a primary care clinic center in Carrollton, TX. KURAOKA CLINIC TEXAS, PLLC NPI is 1013463488. The provider is registered as an organization entity type.

The provider's business location address is:

3012 E HEBRON PKWY STE 104
CARROLLTON, TX
ZIP 75010-461
Phone: (972) 306-0808

The provider's authorized official is Maki Rheaume .
The authorized official title is Owner and has the following contact phone number (770) 980-0000.

The CLIA number assigned to this NPI record is 45D2115887 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2016 and was last updated on 8/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	Q8334	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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