Organization
KTD, PLLC
Active
Other names
Convenient Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY S. DOGGETT MD (PHYSICIAN/SOLE MEMBER)
(254) 965-5888
Entity
Organization
Contact information
Practice address
2216 W WASHINGTON, STEPHENVILLE, TX 76401-7640
(254) 965-5888
(254) 965-5865
Mailing address
2216 W WASHINGTON ST, STEPHENVILLE, TX 76401-3838
(254) 965-5888
(254) 965-5865
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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