Individual
KELLIE MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9441 LBJ FWY STE 602, DALLAS, TX 75243-4501
(469) 249-1883
Mailing address
9441 LBJ FWY STE 602, DALLAS, TX 75243-4501
(469) 249-1883
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ARRT-515239
VA
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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