Adean Kingston MD PLLC
Dermatology in Dallas, TX. Organization (NPI-2).
NPI number1821433004
StatusActive
Last updated in NPPESMay 1, 2013
Details
- NPI
- 1821433004
- Entity type
- Organization (NPI-2)
- Legal business name
- Adean Kingston MD PLLC
- Organization subpart
- No
- Enumeration date
- May 1, 2013
- Last updated
- May 1, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | N0170 | TX | Yes |
Practice location
4514 Cole AveSuite 910
Dallas, TX 75205-5412
Phone 214-420-3376 · Fax 214-420-3630
Mailing address
4514 Cole AveSuite 910
Dallas, TX 75205-5412
Phone 214-420-3376 · Fax 214-420-3630
Authorized official
Adean Audace Kingston
Owner
2144203376
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