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Contact Information

KATHRYN A MINOR, PAC
7777 FOREST LN STE D400
SUITE 301
DALLAS, TX75230-6899
 Phone: 972-566-7790
 Fax: 972-566-5819
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATHRYN A MINOR · (Female)

NPI # 1356427934
Status Active
Credentials PAC
Entity Individual
Enumeration date 10/27/2006
Last updated 08/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA12217
  • TX License # PA06362
  • CA Medicaid PA12217
  • TX Medicaid 345574302
  • TX Medicaid 345574303
  • TX Other P01932457 RAILROAD
Hospital affiliation(s)
  • MEDICAL CITY DALLAS HOSPITAL - (Acute Care)
    7777 FOREST LANE
    DALLAS, TX 75230
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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