Individual
KIRAN NATIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-2709
(214) 648-3903
Mailing address
817 RIVINGTON DR, TEMPLE, TX 76502-4443
(832) 466-7195
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
R2687
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2014
Last updated
05/26/2020
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