KELLY DAVENPORT BOULDEN

FORT WORTH, TX
NPI1407820624
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  L4258)
Enumeration Date2006-02-14
Last Update Date2008-10-13
Business Address
Dr. KELLY DAVENPORT BOULDEN M.D.
4521 S HULEN ST SUITE 200
FORT WORTH, TX 76109-4948
Phone number: 817-924-5252
Mailing Address
Dr. KELLY DAVENPORT BOULDEN M.D.
4521 S HULEN ST SUITE 200
FORT WORTH, TX 76109-4948
Phone number: 817-924-5252
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