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NPI Code Detail

MEDICARE: KDP HEALTH CARE SERVICES

MEDICARE: KDP HEALTH CARE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302R00000XHealth Maintenance OrganizationW13557TX

General Provider Information

NPI Number : 1689986911
Entity Type Code : Organization
Provider Name (Legal Business Name) : KDP HEALTH CARE SERVICES
Provider Business Mailing Address
First Line : 11338 SAGEHILL DR
Second Line :
City : HOUSTON
State : TX
Zip : 77089-4634
Country : US
Telephone Number : 832-891-4952
Fax Number :
Provider Business Practice Location Address
First Line : 11338 SAGE HILL DR
Second Line :
City : HOUSTON
State : TX
Zip : 77089-4634
Country : US
Telephone Number : 832-891-4952
Fax Number :
Authorized Official
Title or Position : OWER
Name : MRS. DAISY EVETTE PETERS
Credential : 01181967
Telephone Number : 832-891-4952
Provider Enumeration Date : 07/01/2010
Last Update Date : 07/01/2010

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Directions to “KDP HEALTH CARE SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.