MEDICARE: LAURA KING

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	133V00000X	Registered Dietitian	DT83331	TX

General Provider Information

NPI Number	:	1275485781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA KING

Provider Business Mailing Address
First Line	:	4124 FLINTRIDGE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-6618
Country	:	US
Telephone Number	:	469-774-2122
Fax Number	:	469-774-2122

Provider Business Practice Location Address
First Line	:	4124 FLINTRIDGE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-6618
Country	:	US
Telephone Number	:	469-774-2122
Fax Number	:	469-774-2122

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

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

Similar Medicare Providers

1912431651 — EMILY REDDICK
Practice Location Address:

4144 FLINTRIDGE DR
DALLAS, TX
75244-6618

Practice Phone: 972-841-7814
Practice Fax:

1427208578 — DEBORAH STOVALL LPC
Practice Location Address:

6618 REGALBLUFF DR
DALLAS, TX
75248-5432

Practice Phone: 214-451-8954
Practice Fax:

1083222020 — REENA WOOLLEY RD
Practice Location Address:

5747 SADLER CIR APT 2329
DALLAS, TX
75235-6618

Practice Phone: 612-865-8377
Practice Fax:

1184365116 — SUSANA AYAD CARTER NP
Practice Location Address:

4055 VALLEY VIEW LN STE 700
DALLAS, TX
75244-5045

Practice Phone: 855-984-5121
Practice Fax:

1417809625 — BREANNA CERVANTES
Practice Location Address:

4201 SPRING VALLEY RD STE 600
DALLAS, TX
75244-1209

Practice Phone: 866-919-3240
Practice Fax:

1003768284 — JANAIA J BREWER MA, LPC-A
Practice Location Address:

4101 MCEWEN RD STE 346
DALLAS, TX
75244-5276

Practice Phone: 469-612-2990
Practice Fax:

Directions to “ LAURA KING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.