| Doctor Name: | DR. CORALIE A K TEXEIRA |
| NPI Number: | 1255371027 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 13563 |
| Business Practice Address: | 91-2139 Fort Weaver Rd Suite 213 Ewa Beach, HI - 967063607 |
| Business Phone Number: | 8086778008 |
| Business Fax Number: | 8086778007 |
| Mailing Address: | 91-2139 Fort Weaver Road, 213 EWA BEACH |
| State: | HI |
| Postal Code: | 96706 |
| Phone Number: | 8086778008 |
| Fax Number: | 8086778007 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 10/08/2015 |
| 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: | |