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Organization
KELSOM CLINIC PA
Active
Organization
KELSOM CLINIC PA
Active
Parent organization
KELSOM CLINIC PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
KELSOM CLINIC PA
Authorized official
CATHERINE OKORONKWO MD (MD)
(972) 254-7272
Entity
Organization
Contact information
Practice address
1202 W PIONEER DR STE 100, IRVING, TX 75061-7309
(972) 254-7272
(972) 254-7575
Mailing address
1202 W PIONEER DR, SUITE 100, IRVING, TX 75061-7308
(972) 254-7272
(972) 254-7575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K2252
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160977801
—
TX
Enumeration date
07/27/2006
Last updated
01/20/2026
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