| NPI | 1346283439 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-06-14 |
| Last Updated | 2011-06-28 |
| Mailing Address | 1643 Lancaster Dr, Suite 203 Grapevine, TX 76051-3593 United States Phone: (817) 329-7670 | Fax: (817) 416-0145 📍 View Map |
| Primary Practice Address | 1643 Lancaster Dr, Suite 203 Grapevine, TX 76051-3593 United States Phone: (817) 329-7670 | Fax: (817) 416-0145 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 145340904 | - |
| MEDICAID | TX | 145340905 | - |
| Other (non-Medicare) | TX | 8CM934 | BCBSTX |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207R00000X – Internal Medicine | TX | K8694 |
| Yes | 207RC0000X – Internal Medicine, Cardiovascular Disease | TX | K8694 |
| No | 207RI0011X – Internal Medicine, Interventional Cardiology | TX | K8694 |
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About NPI 1346283439
Kevin Theleman M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1346283439. The primary specialty listed is Internal Medicine, Cardiovascular Disease. The provider is located in Grapevine, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1346283439?
NPI 1346283439 belongs to Kevin Theleman M.D., a Internal Medicine, Cardiovascular Disease in Grapevine, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1346283439 active?
The current status of NPI 1346283439 in the NPPES registry is Active. The record was last updated on 2011-06-28.
What specialty is NPI 1346283439?
NPI 1346283439 is classified under the taxonomy Internal Medicine, Cardiovascular Disease. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1346283439?
You can verify NPI 1346283439 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1346283439?
The primary practice address on file for NPI 1346283439 is 1643 Lancaster Dr, Grapevine, TX 76051-3593. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1346283439 issued?
NPI 1346283439 was first issued (enumerated) on 2006-06-14. The NPPES record was last updated on 2011-06-28.
Practice Location Map
Kevin Theleman is located at 1643 Lancaster Dr, Grapevine, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kevin Theleman. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1346283439. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | K8694 | TX |
| Internal Medicine, Cardiovascular Disease | K8694 | TX |
| Internal Medicine, Interventional Cardiology | K8694 | TX |