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Contact Information

421 N 38TH KILLEEN PROFESSIONAL, PLLC
421 N 38TH ST
KILLEEN, TX76543-4153
 Phone: 254-634-0234
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 421 N 38TH KILLEEN PROFESSIONAL, PLLC

NPI # 1912526203
LBN Legal business name 421 N 38TH KILLEEN PROFESSIONAL, PLLC
Authorized official PETER GRUMBOS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/16/2020
Last updated 04/16/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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