Individual
GAYLINE KIM FALLPULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 KINGSTON, COLLEYVILLE, TX 76034-6220
(817) 734-2598
Mailing address
6501 KINGSTON, COLLEYVILLE, TX 76034-6220
(817) 734-2598
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
55894
TX
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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