Individual
MR. LUKE KIENTZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
618 CLARA BARTON BLVD STE 7, GARLAND, TX 75042-5731
(972) 268-2521
Mailing address
114 JASON DR, RED OAK, TX 75154-5108
(972) 268-2521
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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