Individual
DR. KATHLEEN ELIZABETH VANDIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9063
(214) 456-6993
(214) 456-6390
Mailing address
2202 WHITE CLIFF DR, RICHARDSON, TX 75080-2557
(214) 477-2526
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N3368
TX
Other
Enumeration date
08/08/2007
Last updated
12/02/2009
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