Organization
CAREY S. PENNISTON, DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAREY PENNISTON DO (PRESIDENT)
(214) 321-2673
Entity
Organization
Contact information
Practice address
10534 GARLAND RD, SUITE B, DALLAS, TX 75218-2637
(214) 321-2673
Mailing address
10534 GARLAND RD, SUITE B, DALLAS, TX 75218-2637
(214) 321-2673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N4659
TX
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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