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Kallal Bros, Llc
Primary Care Clinic/Center in Roanoke, Texas
NPI 1780153734

Kallal Bros, Llc is a Primary Care Clinic/Center based in Keller, TX and is specialized in Primary Care. Kallal Bros, Llc practices in Roanoke, TX. The NPI Number for Kallal Bros, Llc is 1780153734 and holds a License No. (Texas).

The current practice location address for Kallal Bros, Llc is 1104 N Highway 377 Ste 200, Roanoke, TX and can be reached out via phone at 817-915-1520.

Location: 1104 N Highway 377 Ste 200, Roanoke, TX, 76248-3117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780153734
Provider Name
Kallal Bros, Llc
Credential
Provider Entity Type
Organization
Address
1104 N Highway 377 Ste 200, Roanoke, TX, 76248-3117
Phone Number
817-915-1520
Fax Number
Provider Enumeration Date
11/20/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H7766 01 TX LICENSE
institution
Provider Business Practice Location Address Details
Address
1104 N Highway 377 Ste 200
City
Roanoke
State
Texas
Zip
76262-9124
Phone Number
817-915-1520
Fax Number
person
Provider Business Mailing Address Details
Address
1104 N Highway 377 Ste 200
City
Roanoke
State
Texas
Zip
76262-9124
Phone Number
817-915-1520
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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