| Kallal Bros, Llc | |
|
400 S Oak St Ste 120 Roanoke TX 76262-6789 | |
| (817) 900-0304 | |
| (817) 900-0432 |
| Full Name | Kallal Bros, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 400 S Oak St Ste 120, Roanoke, Texas |
| Authorized Official Name and Position | John Kallal (MEMBER) |
| Authorized Official Contact | 8179151520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kallal Bros, Llc 400 S Oak St Ste 120 Roanoke TX 76262-6789 Ph: (817) 900-0304 | Kallal Bros, Llc 400 S Oak St Ste 120 Roanoke TX 76262-6789 Ph: (817) 900-0304 |
| NPI Number | 1780153734 |
|---|---|
| Provider Enumeration Date | 11/20/2018 |
| Last Update Date | 04/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780153734 | NPI | - | NPPES |
| H7766 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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