Kallam, G Byron

Kallam, G Byron is an individual health care provider with primary practice located at 809 W Randol Mill Rd , Arlington TX 76012-2507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Kallam, G Byron can be contacted via phone (817) 277-7133.

Contact Information

Primary practice address
809 W Randol Mill Rd Arlington TX 76012-2507
Fax: (817) 274-6367
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X D7608 Texas

Profile Details

NPI number 1417995093
LBN Legal business name Kallam, G Byron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Sep 26th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417995093 NPPES
Texas Other 160027149 RAILROAD MEDICARE
Texas MEDICAID 101556202 RAILROAD MEDICARE

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