Organization
PELICAN INPATIENT SERVICES PLLC
Active
Organization
PELICAN INPATIENT SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
1000 HIGHWAY 28, JASPER, TN 37347-3638
(423) 837-9500
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/02/2014
Last updated
12/09/2020
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