| NPI | 1669402673 |
|---|---|
| Doing Business As | KING'S DAUGHTERS CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA C. PAYNE Provider Director 254-298-2682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |