Kalvakuntla, Laxman R
Kalvakuntla, Laxman R is an sole proprietor health care provider with primary practice located at 63 Waterford Dr , Nacogdoches TX 75965-8717. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Kalvakuntla, Laxman R can be contacted via phone (936) 645-1044.Contact Information
Primary practice address
63 Waterford Dr
Nacogdoches TX 75965-8717
Phone: (936) 645-1044
Fax: (936) 205-1328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | J2627 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | J2627 | Texas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | J2627 | Texas |
Profile Details
| NPI number | 1013913623 |
|---|---|
| LBN Legal business name | Kalvakuntla, Laxman R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Mar 1st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013913623 | NPPES |
| Texas | Other | 00J23M | MEDICARE ID |
| Texas | MEDICAID | 1303655301 | MEDICARE ID |
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