Individual
DR. KIMBERLY M PERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8230 WALNUT HILL LN, SUITE 610, DALLAS, TX 75231-4482
(214) 345-7398
(214) 345-4264
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J6656
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118623107
—
TX
01
—
8S9975
BCBS
TX
01
—
P00471453
RAIL ROAD MEDICARE
TX
Enumeration date
06/15/2006
Last updated
02/06/2017
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