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NPI Code Detail

MEDICARE: JANA KING

MEDICARE:   JANA  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
1163WS0121XPlastic Surgery Registered Nurse658392TX

General Provider Information

NPI Number : 1730667254
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANA KING
Provider Business Mailing Address
First Line : 8781 BRIDGE ST
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-5442
Country : US
Telephone Number : 817-995-5044
Fax Number :
Provider Business Practice Location Address
First Line : 8781 BRIDGE ST
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-5442
Country : US
Telephone Number : 817-995-5044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2018
Last Update Date : 08/06/2018

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Directions to “ JANA KING ” Practice Location

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