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Contact Information

KC CREEK EQUESTRIAN, LLC
9906 CR 468 W
HENDERSON, TX75654
 Phone: 903-646-1326
 Fax: 903-392-8267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KC CREEK EQUESTRIAN LLC · (Female)

NPI # 1174086714
Status Active
Credentials
Entity Individual
Enumeration date 04/10/2019
Last updated 04/10/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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