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NPI Code Detail

MEDICARE: MRS. RITA KAMINSKI LEGGE PA-C

MEDICARE: MRS. RITA KAMINSKI LEGGE PA-C
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
1363A00000XPhysician AssistantPA00413TX

General Provider Information

NPI Number : 1841539137
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RITA KAMINSKI LEGGE PA-C
Provider Business Mailing Address
First Line : 1003 RICHMOND AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77006-5419
Country : US
Telephone Number : 713-807-8491
Fax Number :
Provider Business Practice Location Address
First Line : 1003 RICHMOND AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77006-5419
Country : US
Telephone Number : 713-807-8491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2013
Last Update Date : 07/15/2020

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