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NPI Code Detail

MEDICARE: KIMBERLY STAR ALMANZA

MEDICARE:   KIMBERLY STAR ALMANZA
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
1183700000XPharmacy TechnicianTX

General Provider Information

NPI Number : 1588253710
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY STAR ALMANZA
Provider Business Mailing Address
First Line : 3811 BANDERA DR
Second Line :
City : LAREDO
State : TX
Zip : 78046-6963
Country : US
Telephone Number : 956-269-3749
Fax Number :
Provider Business Practice Location Address
First Line : 1911 NE BOB BULLOCK LOOP
Second Line :
City : LAREDO
State : TX
Zip : 78045-6596
Country : US
Telephone Number : 956-764-5050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2021
Last Update Date : 01/12/2021

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Directions to “ KIMBERLY STAR ALMANZA ” 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.