Individual
KIMBERLY JACINTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-2361
Mailing address
7401 W ARROWHEAD CLUBHOUSE DR UNIT 1088, GLENDALE, AZ 85308-8836
(530) 613-1607
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
T5928
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2017
Last updated
08/02/2022
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