Organization
GENESIS II AGE MANAGEMENT, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD STEVEN KLINE M.D. (PRESIDENT)
(817) 419-8748
Entity
Organization
Contact information
Practice address
515 W. MAYFIELD ROAD, SUITE 416, ARLINGTON, TX 76014-2085
(817) 419-8748
(817) 419-8788
Mailing address
515 W. MAYFIELD ROAD, SUITE 416, ARLINGTON, TX 76014-2085
(817) 419-8748
(817) 419-8788
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
E1000
TX
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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