MEDICARE: KAREN KAY KING D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	H0522	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	8F8159	OTHER	TX	MEDICARE INDIVIDUAL PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8AJ718	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	S0062987	OTHER	TX	DPS

General Provider Information

NPI Number	:	1124022405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN KAY KING D.O.

Provider Business Mailing Address
First Line	:	9323 GARLAND RD
Second Line	:	STE 111
City	:	DALLAS
State	:	TX
Zip	:	75218-3693
Country	:	US
Telephone Number	:	214-328-7400
Fax Number	:	214-328-7680

Provider Business Practice Location Address
First Line	:	9323 GARLAND RD
Second Line	:	STE 111
City	:	DALLAS
State	:	TX
Zip	:	75218-3693
Country	:	US
Telephone Number	:	214-328-7400
Fax Number	:	214-328-7680

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	03/07/2023

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Directions to “ KAREN KAY KING D.O.” Practice Location

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