PHYSICIANS OF KING'S DAUGHTERS PA NPI 1518268812

NPI Information

NPI: 1518268812
Provider Name: PHYSICIANS OF KING'S DAUGHTERS, PA

Doing Business As: KING'S DAUGHTERS CLINIC

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1909 SW H K DODGEN LOOP
TEMPLE, TX
ZIP 76502
Phone: (254) 295-1210
Get Directions

PHYSICIANS OF KING'S DAUGHTERS, PA is a diagnostic radiology radiology in Temple, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PHYSICIANS OF KING'S DAUGHTERS, PA NPI is 1518268812. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As King's Daughters Clinic.

The provider's business location address is:

1909 SW H K DODGEN LOOP
TEMPLE, TX
ZIP 76502-814
Phone: (254) 295-1210
Fax: (254) 295-1205

The provider's authorized official is Jeffery D. Kroll .
The authorized official title is President and has the following contact phone number (254) 298-2400.

The enumeration date for this NPI number is 11/3/2010 and was last updated on 11/3/2010.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	R04610	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110836702	MEDICAID	TEXAS
2	00C399	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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