Individual
DR. KATHLEEN G HALKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J3491
TX
207RH0000X
Hematology (Internal Medicine) Physician
Primary
J3491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128853206
—
TX
Enumeration date
06/22/2005
Last updated
12/07/2021
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