Organization
CYNTHIA A MCCLURE KING MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA MCCLURE KING M.D. (PRESIDENT)
(956) 206-7633
Entity
Organization
Contact information
Practice address
115 AIRPORT RD, SULPHUR SPRINGS, TX 75482-2105
(972) 875-0900
Mailing address
156 NORTHSHORE DR, KERENS, TX 75144-9504
(956) 206-7633
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J8014
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117674501
—
TX
01
—
87030R
MEDICARE PROVIDER NUMBER
TX
Enumeration date
07/25/2007
Last updated
05/15/2008
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