SHATORYA ANN MODKINS

DALLAS, TX
NPI1164669974
Entity TypeOrganization
Authorized ContactSHATORYA ANN MODKINS
CEO
214-208-6402
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2009-01-15
Last Update Date2009-01-15
Business Address
SHATORYA ANN MODKINS
4342 LASHLEY DR
DALLAS, TX 75232-1186
Phone number: 214-208-6402
Mailing Address
SHATORYA ANN MODKINS
4342 LASHLEY DR
DALLAS, TX 75232-1186
Phone number: 214-208-6402