Individual
DR. MARY ANN KNESEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4600 SAMUELL BLVD, DALLAS, TX 75228-6827
(214) 381-7181
Mailing address
3508 GENTRY RD, IRVING, TX 75062-4505
(972) 541-0261
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H7770
TX
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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