Individual
KAI XIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
910 E HOUSTON ST, STE 550, TYLER, TX 75702-8369
(903) 510-8718
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M0979
TX
207RG0100X
Gastroenterology Physician
Primary
M0979
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185661901
—
TX
01
—
I08030
UPIN
—
Enumeration date
02/23/2006
Last updated
10/14/2014
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