MEDICARE: POLLY KNIGHT MD

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	K7782	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164446308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	POLLY KNIGHT MD

Provider Business Mailing Address
First Line	:	350 N CARTWRIGHT
Second Line	:
City	:	VAN ALSTYNE
State	:	TX
Zip	:	75495-7111
Country	:	US
Telephone Number	:	903-482-9153
Fax Number	:	903-482-9514

Provider Business Practice Location Address
First Line	:	350 N CARTWRIGHT
Second Line	:
City	:	VAN ALSTYNE
State	:	TX
Zip	:	75495-7111
Country	:	US
Telephone Number	:	903-482-9153
Fax Number	:	903-482-9514

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	04/04/2022

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Directions to “ POLLY KNIGHT MD” Practice Location

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