MARY K KUKOLICH

FORT WORTH, TX
NPI1912918111
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207SG0201X Medical Genetics, Clinical Genetics (M.D.)
(Licence: TX  E5817)
Additional Taxonomies208000000X Pediatrics
(Licence: TX  E5817)
Enumeration Date2006-08-11
Last Update Date2021-05-17
Business Address
MARY K KUKOLICH MD
750 8TH AVE STE 200
FORT WORTH, TX 76104-2500
Phone number: 682-885-2170
Mailing Address
MARY K KUKOLICH MD
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855