KINGSBROOK HEALTHCARE SERVICES PLLC NPI 1023249505

NPI Information

KINGSBROOK HEALTHCARE SERVICES PLLC is a health service clinic center in Dallas, TX. KINGSBROOK HEALTHCARE SERVICES PLLC NPI is 1023249505. The provider is registered as an organization entity type.
The provider Is Doing Business As Bloodworknow.

The provider's business location address is:

1230 RIVER BEND DR STE 100
DALLAS, TX
ZIP 75247-916
Phone: (214) 272-9008
Fax: (682) 228-6994

The provider's authorized official is Temitayo I Sodimu .
The authorized official title is President and has the following contact phone number (214) 272-9008.

The CLIA number assigned to this NPI record is 45D2056180 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2009 and was last updated on 7/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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