Kwaku, Maxwell Prosper
Kwaku, Maxwell Prosper is an individual health care provider with primary practice located at 1000 5Th Street , Tyler TX 75701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Kwaku, Maxwell Prosper can be contacted via phone (903) 590-5190.Contact Information
Primary practice address
1000 5Th Street
Tyler TX 75701
Phone: (903) 590-5190
Fax: (903) 590-5199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | M1861 | Texas |
Profile Details
| NPI number | 1083641534 |
|---|---|
| LBN Legal business name | Kwaku, Maxwell Prosper |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Mar 8th, 2018 - about 6 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 | 1083641534 | NPPES |
| Other | P00229235 | MEDICARE RR |
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