NPI 1023670106
Kohei Jason Takada
Practice location
- Address
- 601 Luther St W APT 1823b, College Station, TX 77840-2798
- Phone
- (512) 230-2292
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1023670106
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Jun 2019
- Record last updated
- 28 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.