NPI | 1013908615 |
---|---|
Doing Business As | KING'S DAUGHTERS CLINIC |
Entity Type | Organization |
Authorized Contact | LINDA C. PAYNE Provider Director 254-298-2682 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2005-11-02 |
Last Update Date | 2008-08-25 |