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Individual

JEFFREY E KALINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6565 FANNIN ST, SUITE M 196, HOUSTON, TX 77030-2703
(713) 790-3311
Mailing address
PO BOX 24125, FORT WORTH, TX 76124-1125
(817) 451-4208

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
K1224
TX
208D00000X
General Practice Physician
Primary
K1224
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046405908
TX
05
046505907
TX
01
8P5338
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
10/18/2006
Last updated
02/05/2025
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