Individual
KIMBERLY AMEZQUITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3136 HORIZON RD STE 100, ROCKWALL, TX 75032-7808
(214) 227-2457
(214) 764-0880
Mailing address
3136 HORIZON RD STE 100, ROCKWALL, TX 75032-7808
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA13086
TX
Other
Enumeration date
11/21/2019
Last updated
05/06/2020
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