Provider Demographics
NPI:1205940632
Name:KEVIN A CURRAN MD PA
Entity type:Organization
Organization Name:KEVIN A CURRAN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:CURRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-546-2288
Mailing Address - Street 1:PO BOX 699
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:TX
Mailing Address - Zip Code:75103-0699
Mailing Address - Country:US
Mailing Address - Phone:936-546-2288
Mailing Address - Fax:
Practice Address - Street 1:1100 E LOOP 304
Practice Address - Street 2:
Practice Address - City:CROCKETT
Practice Address - State:TX
Practice Address - Zip Code:75835-1810
Practice Address - Country:US
Practice Address - Phone:936-546-2288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX308315601Medicaid
TX308315601Medicaid