Organization
KMSA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY WALE (ADMINISTRATOR)
(936) 321-4345
Entity
Organization
Contact information
Practice address
3115 COLLEGE PARK DR STE 101, THE WOODLANDS, TX 77384-4001
(936) 321-4345
Mailing address
3115 COLLEGE PARK DR STE 101, THE WOODLANDS, TX 77384-4001
(936) 321-4345
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/03/2010
Last updated
03/04/2010
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