Individual
CHARLES F KALLINA IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-3222
(254) 724-2111
(254) 724-7603
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
M1812
TX
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
M1812
TX
2086S0105X
Surgery of the Hand (Surgery) Physician
M1812
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180574901
—
TX
Enumeration date
02/16/2006
Last updated
10/26/2021
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