| Organization Name: | CORALIE A.K. TEXEIRA, M.D. LLC |
| NPI Number: | 1487050241 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CORALIE ANN KANANI TEXEIRA (OWNER) |
| Mailing Address: | 92-1527 Aliinui Dr Ste C Kapolei |
| State: | HI US |
| Postal Code: | 967072232 |
| Phone Number: | 8086706458 |
| Fax Number: | |
| NPI Enumeration Date: | 11/06/2014 |
| NPI Last Update Date: | 11/06/2014 |
| 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: | |