KURAOKA CLINIC TEXAS, PLLC
NPI 1013463488
Clinic/Center - Primary Care in Carrollton, TX

Active since August 26, 2016CLIA 11D2004017 · Waiver
3012 E HEBRON PKWY STE 104, CARROLLTON, TX 75010(972) 306-0808 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kuraoka Clinic Texas, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KURAOKA CLINIC TEXAS, PLLC (NPI 1013463488) is a healthcare organization registered as a primary care in Carrollton, Texas and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Maki Rheaume, Owner, as its authorized official.

NPPES Registry Identity

NPI1013463488
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKURAOKA CLINIC TEXAS, PLLC
Location Address3012 E HEBRON PKWY STE 104Carrollton, TX 75010-4461
Mailing Address100 Galleria Pkwy Se Ste 660Atlanta, GA 30339-5912 · (770) 980-0000
Organization SubpartNo
Authorized OfficialMaki RheaumeOwner · (770) 980-0000
Enumeration DateAugust 26, 2016
NPI 1013463488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in TX · Q8334
3012 E HEBRON PKWY STE 104, Carrollton, TX 75010

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2004017

Kuraoka Clinic · Marietta, GA
Active · expires Feb 23, 2028
CLIA Number11D2004017
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorMaki K. Rheaume
Laboratory Phone(770) 980-0000
Laboratory LocationKuraoka Clinic1640 Powers Ferry Road, Building 30, Suite 100, Marietta, GA 30067
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3012 E HEBRON PKWY STE 104
CARROLLTON, TX 75010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kuraoka Clinic Texas, PLLC's NPI number?

The NPI number for Kuraoka Clinic Texas, PLLC is 1013463488. It was assigned to this organization in the NPPES registry on August 26, 2016.

Where is Kuraoka Clinic Texas, PLLC located?

Kuraoka Clinic Texas, PLLC is located at 3012 E Hebron Pkwy Ste 104, Carrollton, TX 75010. The listed phone number is (972) 306-0808.

What is Kuraoka Clinic Texas, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Kuraoka Clinic Texas, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2004017) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kuraoka Clinic Texas, PLLC was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.