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Individual

ANNAH M KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, CHT

Contact information

Practice address
3600 GASTON AVE, SUITE 450, DALLAS, TX 75246-1800
(214) 823-5351
(214) 823-2060
Mailing address
3600 GASTON AVE, SUITE 450, DALLAS, TX 75246-1800
(214) 823-5351
(214) 823-2060

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
106824
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106824
STATE LICENSE#
TX
Enumeration date
10/25/2005
Last updated
09/24/2009
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