Individual
G BYRON KALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
809 W RANDOL MILL RD, ARLINGTON, TX 76012-2507
(817) 277-7133
(817) 274-6367
Mailing address
9003 AIRPORT FWY, SUITE 300, NORTH RICHLAND HILLS, TX 76180-7770
(817) 514-5200
(817) 514-5210
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D7608
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101556202
—
TX
01
—
160027149
RAILROAD MEDICARE
TX
Enumeration date
06/03/2006
Last updated
09/26/2011
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