| NPI | 1619213873 |
|---|---|
| Doing Business As | KING'S DAUGHTERS CLINIC |
| Entity Type | Organization |
| Authorized Contact | VIRGINIA RL MINER Credentialing Coordinator 254-298-2682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |