KELLY DAWN BLACK

FORT WORTH, TX
NPI1457499592
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207PP0204X Emergency Medicine, Pediatric Emergency Medicine
(Licence: SD  8697)
Additional Taxonomies2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: KY  41081)
2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: WA  MD 6047537)
Enumeration Date2007-02-01
Last Update Date2021-04-28
Business Address
Dr. KELLY DAWN BLACK MD, MSC
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-4095
Mailing Address
Dr. KELLY DAWN BLACK MD, MSC
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855