| NPI | 1104817709 |
|---|---|
| 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 | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2008-07-31 |