Individual
MS. KAIDEN EORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
1901 MILLER RD, ROWLETT, TX 75088-5604
(214) 227-2457
Mailing address
1901 MILLER RD, ROWLETT, TX 75088-5604
(214) 227-2457
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
161596
TX
246ZC0007X
Surgical Assistant
Primary
SA00650
TX
Other
Enumeration date
04/15/2015
Last updated
09/21/2018
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