| NPI | 1306025614 |
|---|---|
| Doing Business As | KIEST PARK MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LOUIS DALE ZEGARELLI Physician/Medical Director 214-333-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2012-07-06 |