Individual
DR. KATHRYN JEAN EUBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-2992
(214) 648-2087
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 648-2992
(214) 648-2087
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N7254
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D0056806
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
N7254
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186882001
—
TX
Enumeration date
01/24/2007
Last updated
06/13/2012
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