Organization
TEAYS URGENT CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD S KALOU M.D. (OWNER)
(304) 552-4712
Entity
Organization
Contact information
Practice address
113 LIBERTY SQUARE SHOPPING CENTER, HURRICANE, WV 25526
(304) 552-7414
Mailing address
113 LIBERTY SQUARE SHOPPING CENTER, HURRICANE, WV 25526
(304) 552-7414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22493
WV
Other
Enumeration date
12/01/2008
Last updated
04/16/2013
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