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Individual

ADAM SHANE KORENKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(214) 590-8000
(214) 590-5843
Mailing address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(214) 590-8000
(214) 590-5843

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04554
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
303919003
TX
Enumeration date
06/04/2006
Last updated
08/30/2017
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