Healthcare Provider Details

I. General information

NPI: 1891956579
Provider Name (Legal Business Name): RONNIE BETH NAWAIEHA TEXEIRA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1319 PUNAHOU ST STE 824
HONOLULU HI
96826-1032
US

IV. Provider business mailing address

1141 LUNAAI ST
KAILUA HI
96734-4541
US

V. Phone/Fax

Practice location:
  • Phone: 808-203-6518
  • Fax:
Mailing address:
  • Phone: 808-386-1217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMDR 5460
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: