Eubank, Kathryn Jean

Eubank, Kathryn Jean is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7201. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Eubank, Kathryn Jean can be contacted via phone (214) 648-2992.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7201
Phone: (214) 648-2992
Fax: (214) 648-2087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X D0056806 Maryland
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X N7254 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N7254 Texas

Profile Details

NPI number 1508911181
LBN Legal business name Eubank, Kathryn Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jun 13th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508911181 NPPES
Texas MEDICAID 186882001

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