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Kahtan A. Kaissi, Md
Clinic/Center in Nederland, Texas
NPI 1932384435

Kahtan A. Kaissi, Md is a Clinic/Center based in Nederland, TX. Kahtan A. Kaissi, Md practices in Nederland, TX. The NPI Number for Kahtan A. Kaissi, Md is 1932384435 and holds a License No. K1491 (Texas).

The current practice location address for Kahtan A. Kaissi, Md is 1300 Franklin Ave, Nederland, TX and can be reached out via phone at 409-722-3437 and via fax at 409-722-1281.

Location: 1300 Franklin Ave, Nederland, TX, 77627-3949
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932384435
Provider Name
Kahtan A. Kaissi, Md
Credential
Provider Entity Type
Organization
Address
1300 Franklin Ave, Nederland, TX, 77627-3949
Phone Number
409-722-3437
Fax Number
409-722-1281
Provider Enumeration Date
01/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8B4031 01 TX BCBS PROVIDER ID NO.
8B4030 01 TX BCBS PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
1300 Franklin Ave
City
Nederland
State
Texas
Zip
77627-3949
Phone Number
409-722-3437
Fax Number
409-722-1281
person
Provider Business Mailing Address Details
Address
1300 Franklin Ave
City
Nederland
State
Texas
Zip
77627-3949
Phone Number
409-722-3437
Fax Number
409-722-1281
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
K1491 (Texas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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