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Organization
STALLION SPRINGS MEDICAL SERVICES A MEDICAL CORPORATION
Active
Organization
STALLION SPRINGS MEDICAL SERVICES A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (VP PROVIDER ENROLLMENT)
(973) 251-1132
Entity
Organization
Contact information
Practice address
115 W E ST, TEHACHAPI, CA 93561-1607
(954) 838-2371
Mailing address
13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/06/2017
Last updated
10/28/2019
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