Organization
LONE STAR KIDS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY LYNN SMITH M.D. (OWNER/PHYSICIAN)
(972) 649-5480
Entity
Organization
Contact information
Practice address
1256 W EXCHANGE PKWY STE 200, ALLEN, TX 75013-7049
(972) 649-5480
(469) 854-6664
Mailing address
1256 W EXCHANGE STE 200, ALLEN, TX 75013-7049
(972) 649-5480
(469) 854-6664
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M1354
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1976433
—
TX
Enumeration date
08/28/2016
Last updated
08/28/2016
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