Individual
KATHRYN SICKOREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4645 SAMUELL BLVD, DALLAS, TX 75228-6826
(214) 275-7393
Mailing address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-6159
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
245989
MA
2084P0800X
Psychiatry Physician
Primary
P4907
TX
Other
Enumeration date
06/12/2008
Last updated
12/26/2013
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