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Individual

ELIZABETH A KVALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(173) 873-8890
Mailing address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(823) 355-2666

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R9090
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
46187
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
R9090
TX
207R00000X
Internal Medicine Physician
24721
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009901505
AL
05
009913605
AL
05
009931585
AL
01
051510522
BLUE CROSS
AL
05
051510522
AL
01
051511120
BLUE CROSS
AL
01
051513539
BLUE CROSS
AL
01
051523723
BLUE CROSS
AL
Enumeration date
06/28/2006
Last updated
07/19/2023
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