Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 4301065653 | MI |
Y | 207QA0505X | Family Doctor - Adult Medicine | R1312 | TX |
NPI | 1306891726 |
---|---|
Provider Name | Dr. Kyriakos Tsalamandris |
First Address | Pflugerville, TX 78660-1750 |
Second Address | Pflugerville, TX 78660-1750 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 24/03/2021 |