Kanitra, John
Kanitra, John is an individual health care provider with primary practice located at 3500 Gaston Ave Ste 1013 , Dallas TX 75246-2088. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Kanitra, John can be contacted via phone (469) 814-3518.Contact Information
Primary practice address
3500 Gaston Ave Ste 1013
Dallas TX 75246-2088
Phone: (469) 814-3518
Fax: (469) 814-4854
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301504105 | Michigan |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | BP10084099 | Texas |
Profile Details
NPI number | 1730676362 |
---|---|
LBN Legal business name | Kanitra, John |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 19th, 2018 |
Last updated | Jun 7th, 2023 - about last year |
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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