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NPI Code Detail

MEDICARE: MR. JOHN KYLES R.PH

MEDICARE: MR. JOHN KYLES R.PH
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
1183500000XPharmacist37721TX
2171M00000XCase Manager/Care CoordinatorTX

General Provider Information

NPI Number : 1750665030
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN KYLES R.PH
Provider Business Mailing Address
First Line : 6610 TIDWELL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77016-4824
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6610 TIDWELL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77016-4824
Country : US
Telephone Number : 713-633-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2011
Last Update Date : 03/05/2026

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