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Organization
PHYSICIANS OF KING'S DAUGHTERS, P.A.
Active
Organization
PHYSICIANS OF KING'S DAUGHTERS, P.A.
Active
Other names
King's Daughters Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA C. PAYNE (PROVIDER DIRECTOR)
(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
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110836701
—
TX
Enumeration date
11/02/2005
Last updated
07/31/2008
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