Individual
KANIKA A PRYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 FOREST CREEK DR, FORT WORTH, TX 76123-1028
(817) 884-7778
Mailing address
1301 E BARDIN RD UNIT 180015, ARLINGTON, TX 76018-2130
(817) 884-7778
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
14912
TX
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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