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Organization
KSA ENTERPRISES, LLC
Active
Organization
KSA ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PURNIMA KUMAR (OFFICE ADMINISTRATOR)
(469) 231-5085
Entity
Organization
Contact information
Practice address
2171 FAIR HILL DR, ALLEN, TX 75013-5658
(469) 231-5085
Mailing address
2171 FAIR HILL DR, ALLEN, TX 75013-5658
(469) 231-5085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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