NPI | 1407333172 |
---|---|
Doing Business As | SHANNON F. KLUMP, DO |
Entity Type | Organization |
Authorized Contact | SHANNON F KLUMP Physician/Owner 346-704-8766 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q9405) |
Enumeration Date | 2018-07-25 |
Last Update Date | 2018-07-25 |