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Kohei Jason Takada
Student in an Organized Health Care Education/Training Program in College Station, Texas
NPI 1023670106

Kohei Jason Takada is a Student in an Organized Health Care Education/Training Program based in College Station, TX. Kohei Jason Takada practices in College Station, TX. The NPI Number for Kohei Jason Takada is 1023670106 and holds a License No. (Texas).

The current practice location address for Kohei Jason Takada is 601 Luther St W Apt 1823B, College Station, TX and can be reached out via phone at 512-230-2292.

Location: 601 Luther St W Apt 1823B, College Station, TX, 77840-2798
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023670106
Provider Name
Kohei Jason Takada
Credential
Provider Entity Type
Individual
Gender
Male
Address
601 Luther St W Apt 1823B, College Station, TX, 77840-2798
Phone Number
512-230-2292
Fax Number
Provider Enumeration Date
06/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
601 Luther St W Apt 1823B
City
College Station
State
Texas
Zip
77840-2798
Phone Number
512-230-2292
Fax Number
person
Provider Business Mailing Address Details
Address
601 Luther St W Apt 1823B
City
College Station
State
Texas
Zip
77840-2798
Phone Number
512-230-2292
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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