Kindrick, Stephen Dwayne
Kindrick, Stephen Dwayne is an individual health care provider with primary practice located at 731 E Southlake Blvd , Southlake TX 76092-6377. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kindrick, Stephen Dwayne can be contacted via phone (817) 424-3366.Contact Information
Primary practice address
731 E Southlake Blvd
Southlake TX 76092-6377
Phone: (817) 424-3366
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M7334 | Texas |
Profile Details
| NPI number | 1427266857 |
|---|---|
| LBN Legal business name | Kindrick, Stephen Dwayne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| Last updated | Apr 5th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427266857 | NPPES |
| Texas | MEDICAID | 202572801 |
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