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Organization
PHYSICIANS OF KING'S DAUGHTERS, PA
Active
Organization
PHYSICIANS OF KING'S DAUGHTERS, PA
Active
Other names
King's Daughters Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD T. MCCAFFREY DPM (PRESIDENT BOARD OF DIRECTORS)
(254) 298-2682
Entity
Organization
Contact information
Practice address
1905 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 298-2682
(254) 778-7197
Mailing address
1905 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 298-2682
(254) 778-7197
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CQ2513
MEDICARE RAILROAD
TX
Enumeration date
07/30/2008
Last updated
07/30/2008
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