Organization
PHYSICIANS OF KING'S DAUGHTERS, PA
Active
Parent organization
PHYSICIANS OF KING'S DAUGHTERS, PA
Other names
King's Daughters Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIANS OF KING'S DAUGHTERS, PA
Authorized official
DR. JEFFERY D. KROLL MD (PRESIDENT)
(254) 298-2400
Entity
Organization
Contact information
Practice address
1909 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 295-1210
(254) 295-1205
Mailing address
1905 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 298-2400
(254) 778-7197
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R04610
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110836702
—
TX
Enumeration date
11/03/2010
Last updated
11/03/2010
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