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Individual

DR. JEFFREY CABRAL TEIXEIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-8355
(270) 798-8400
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-8355
(270) 798-8400

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01088789A
IN
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
MD60839514
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598103970
WA
Enumeration date
06/07/2013
Last updated
07/16/2026
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