Individual
DR. CORALIE A K TEXEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
91-2139 FORT WEAVER RD, SUITE 213, EWA BEACH, HI 96706-3607
(808) 677-8008
(808) 677-8007
Mailing address
91-2139 FORT WEAVER ROAD, 213, EWA BEACH, HI 96706
(808) 677-8008
(808) 677-8007
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13563
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H105056
GROUP MEDICARE PTAN
HI
01
—
H105198
MEDICARE PTAN
HI
Enumeration date
06/08/2006
Last updated
10/08/2015
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