Individual
MRS. DIEM THERESE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-2200
(972) 398-0499
Mailing address
PO BOX 845347, DALLAS, TX 75284-4228
(214) 689-5960
(469) 713-8084
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06040
TX
Other
Enumeration date
04/22/2009
Last updated
01/10/2021
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