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Organization
KINGSLEY MEDICAL CLINIC, P.A.
Active
Organization
KINGSLEY MEDICAL CLINIC, P.A.
Active
Other names
ridgewood medical clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE E. WARDLAY D.O (OWNER)
(972) 271-5544
Entity
Organization
Contact information
Practice address
219 W KINGSLEY RD, SUIT 336, GARLAND, TX 75041-3448
(972) 271-5544
Mailing address
219 W KINGSLEY RD, SUIT 336, GARLAND, TX 75041-3448
(972) 271-5544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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