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Organization

CORALIE AK TEXEIRA INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORALIE ANN KANANI TEXEIRA M.D. (PRESIDENT)
(808) 238-0008
Entity
Organization

Contact information

Practice address
45-3587 MAMANE ST STE 101, HONOKAA, HI 96727-6923
(808) 238-0008
Mailing address
48-5298 KUKUIHAELE RD, HONOKAA, HI 96727-7210
(808) 238-0008
(808) 238-0008

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13563
HI

Other

Enumeration date
11/22/2011
Last updated
01/31/2012
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