Kidd Medical Concepts PLLC
Internal Medicine in Dallas, TX. Organization (NPI-2).
NPI number1437454352
StatusActive
Last updated in NPPESOct 8, 2019
Details
- NPI
- 1437454352
- Entity type
- Organization (NPI-2)
- Legal business name
- Kidd Medical Concepts PLLC
- Organization subpart
- No
- Enumeration date
- Jan 25, 2011
- Last updated
- Oct 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | M1829 | TX | Yes |
Practice location
2900 McKinnon St Apt 502Dallas, TX 75201-1064
Phone 972-505-1584
Mailing address
Po Box 8887Greenville, TX 75404-8887
Phone 903-200-1277 · Fax 903-269-3503
Other practice locations
1717 McKinney Ave Ste 700
Dallas, TX 75202-1241
Dallas, TX 75202-1241
Phone 972-505-1584 · Fax 844-582-3627
Authorized official
Avian Deshiver Kidd
President & Provider
9725051584
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