| Organization Name: | CORALIE AK TEXEIRA INC. |
| NPI Number: | 1104193887 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CORALIE ANN KANANI TEXEIRA (PRESIDENT) |
| Mailing Address: | 45-3587 Mamane St Ste 101 Honokaa |
| State: | HI US |
| Postal Code: | 967276923 |
| Phone Number: | 8082380008 |
| Fax Number: | |
| NPI Enumeration Date: | 11/22/2011 |
| NPI Last Update Date: | 01/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 13563 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |