SIMON KABUTUTWA

GRAND PRAIRIE, TX
NPI1437612975
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  T9418)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-11
Last Update Date2024-09-18
Business Address
Dr. SIMON KABUTUTWA MD
710 E PIONEER PKWY
GRAND PRAIRIE, TX 75051-4958
Phone number: 972-262-8211
Mailing Address
Dr. SIMON KABUTUTWA MD
710 E PIONEER PKWY
GRAND PRAIRIE, TX 75051-4958
Phone number: 972-262-8211