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NPI Code Detail

MEDICARE: DR. CLIFFORD MARK KITTEN M.D.

MEDICARE:  DR. CLIFFORD MARK KITTEN  M.D.
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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianE4456TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396730826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLIFFORD MARK KITTEN M.D.
Provider Business Mailing Address
First Line : 118 SHENANDOAH DR
Second Line : SUITE A
City : SHENANDOAH
State : TX
Zip : 77381-1204
Country : US
Telephone Number : 281-583-4000
Fax Number : 281-580-5079
Provider Business Practice Location Address
First Line : 118 SHENANDOAH DR
Second Line : SUITE A
City : SHENANDOAH
State : TX
Zip : 77381-1204
Country : US
Telephone Number : 281-583-4000
Fax Number : 281-580-5079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 09/29/2015

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Directions to “ DR. CLIFFORD MARK KITTEN M.D.” Practice Location

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