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Organization
KISA HEALTH PLLC
Active
Organization
KISA HEALTH PLLC
Active
Other names
ProHealth Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
NAIMEH TASHAKKORINIA MD (PHYSICIAN / OWNER)
(423) 227-8382
Entity
Organization
Contact information
Practice address
1130 COTTONWOOD CREEK TRL STE B2, CEDAR PARK, TX 78613-7862
(512) 553-1771
Mailing address
1130 COTTONWOOD CREEK TRL STE B2, CEDAR PARK, TX 78613-7862
(512) 553-1771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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