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Contact Information

KNEAD PHYSICAL MEDICINE PA
4944 PRESTON RD
STE 100A
FRISCO, TX75034-8597
 Phone: 469-304-3443
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Dietary Manager

132700000X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for KNEAD PHYSICAL MEDICINE PA

NPI Number 1043665367
LBN Legal business name KNEAD PHYSICAL MEDICINE PA
Authorized official CHRISTINA PONCE DE LEON - (EXECUTIVE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2016
Last updated 09/24/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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