Individual
KYNDRA LEA GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6020 W PARKER RD STE 470, PLANO, TX 75093-8338
(972) 608-8868
(972) 608-0366
Mailing address
6020 W PARKER RD STE 470, PLANO, TX 75093-8338
(972) 608-8868
(972) 608-0366
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10863
TX
Other
Enumeration date
10/17/2016
Last updated
08/15/2019
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