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Individual

DR. KENNETH WAYNE DEEB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5298 LAGO VISTA LN, FRISCO, TX 75034-1210
(214) 850-3791
Mailing address
2624 LONG PRAIRIE RD, FLOWER MOUND, TX 75022-4839
(972) 899-6666
(972) 899-6669

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H7405
TX

Other

Enumeration date
05/24/2006
Last updated
06/02/2020
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