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Organization
HEALTHY PROMISE FAMILY PRACTICE
Active
Organization
HEALTHY PROMISE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLA FERMENA HEUSNER-BANKS MD (PRESIDENT)
(361) 884-2904
Entity
Organization
Contact information
Practice address
5920 SARATOGA BLVD STE 470, CORPUS CHRISTI, TX 78414-4108
(361) 884-2904
(361) 884-1912
Mailing address
PO BOX 61160, CORPUS CHRISTI, TX 78466-1160
(361) 884-2904
(361) 884-1912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R0869
TX
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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