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Individual

MR. ONLY D MCKNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-9976
Mailing address
3939 BRIARGROVE LN APT 5308, DALLAS, TX 75287-6350
(318) 560-3434

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
821582
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1031410
TX

Other

Enumeration date
12/15/2020
Last updated
04/16/2021
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