Individual
MS. MARY ELIZABETH KVANLI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1558
(214) 302-1433
Mailing address
503 W CENTER ST, DUNCANVILLE, TX 75116-3211
(972) 296-9910
(214) 302-1433
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01118
TX
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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