| NPI | 1750378774 |
|---|---|
| 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 | 207Q00000X Family Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207L00000X Anesthesiology | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 208000000X Pediatrics | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2008-07-31 |