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Organization
KMA DIAGNOSTIC SPECIALTIES
Active
Organization
KMA DIAGNOSTIC SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA CAMPBELL MAUNEY (DIRECTOR)
(214) 382-1909
Entity
Organization
Contact information
Practice address
334 W MAIN ST, LEWISVILLE, TX 75057-3866
(972) 353-3200
Mailing address
10300 N CENTRAL EXPY, SUITE 205, DALLAS, TX 75231-8600
(214) 382-1909
(214) 382-1903
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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