PHYSICIANS OF KING'S DAUGHTERS PA NPI 1275756264

NPI Information

NPI: 1275756264
Provider Name: PHYSICIANS OF KING'S DAUGHTERS, PA

Doing Business As: KING'S DAUGHTERS CLINIC

Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
1905 SW H K DODGEN LOOP
TEMPLE, TX
ZIP 76502
Phone: (254) 298-2682
Get Directions

PHYSICIANS OF KING'S DAUGHTERS, PA is a radiology and mobile clinic center in Temple, TX. PHYSICIANS OF KING'S DAUGHTERS, PA NPI is 1275756264. The provider is registered as an organization entity type.
The provider Is Doing Business As King's Daughters Clinic.

The provider's business location address is:

1905 SW H K DODGEN LOOP
TEMPLE, TX
ZIP 76502-814
Phone: (254) 298-2682
Fax: (254) 778-7197

The provider's authorized official is Edward T. Mccaffrey .
The authorized official title is President Board Of Directors and has the following contact phone number (254) 298-2682.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 7/18/2008.

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	261QR0208X	Clinic/Center	Radiology, Mobile			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
1	45X0009900	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
2	181326301	MEDICAID	TEXAS
3	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: 5/5/2024

NPI Synchronization or Removal

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