| NPI | 1659549004 |
|---|---|
| Other Name | KINGLSEY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | RHONDA GAIL GELBAR Physician Assistant 972-271-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TX PA00969) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX PA00969) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |