Healthcare Provider Details
I. General information
NPI: 1376132233
Provider Name (Legal Business Name): CURATIVE MEDICAL ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/14/2021
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1608 ROYSTON LN
ROUND ROCK TX
78664-9522
US
IV. Provider business mailing address
605 E HUNTINGTON DR STE 207
MONROVIA CA
91016-6353
US
V. Phone/Fax
- Phone: 424-625-7575
- Fax:
- Phone: 888-702-9042
- Fax: 833-520-5353
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207KI0005X |
| Taxonomy | Clinical & Laboratory Immunology (Allergy & Immunology) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFFREY
DAVID
KLAUSNER
Title or Position: CEO
Credential: MD
Phone: 626-214-5156