Individual
DR. KATHERINE TUMMINELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(214) 638-2000
Mailing address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(214) 638-2000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
S1937
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00559777
—
MS
Enumeration date
05/09/2013
Last updated
09/13/2019
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