Organization
SALLYMED, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MATULA KIRK NP (OWNER/PRESIDENT)
(254) 495-7702
Entity
Organization
Contact information
Practice address
1006 E 18TH ST, CAMERON, TX 76520-2016
(254) 495-7702
(254) 605-6212
Mailing address
1006 E 18TH ST, CAMERON, TX 76520-2016
(254) 495-7702
(254) 605-6212
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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