Individual
DANIA KHONCARLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3200 MATLOCK RD, ARLINGTON, TX 76015-2911
(817) 419-1876
(817) 419-4284
Mailing address
PO BOX 913, ADDISON, TX 75001-0913
(972) 991-9950
(972) 991-4026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04586
TX
Other
Enumeration date
08/17/2006
Last updated
06/25/2010
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