Organization
KS GIFTED SERVICES
Active
Other names
Ks Gifted Services
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA RENEE FERGUSON (OWNER)
(817) 637-2362
Entity
Organization
Contact information
Practice address
111 S SPRING CREEK DR, RICHARDSON, TX 75081-4713
(817) 637-2362
Mailing address
111 S SPRING CREEK DR, RICHARDSON, TX 75081-4713
(817) 637-2362
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/07/2011
Last updated
06/08/2011
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