| |
4214 Gateway Dr Suite 100 Colleyville TX 76034-7906 | |
(817) 354-7999 | |
(817) 571-2140 |
Full Name | |
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Speciality | Family Medicine |
Location | 4214 Gateway Dr, Colleyville, Texas |
Authorized Official Name and Position | Kathryn A Pifer (DOCTOR) |
Authorized Official Contact | 8173547999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4214 Gateway Dr Suite 100 Colleyville TX 76034-7906 Ph: (817) 354-7999 | 4214 Gateway Dr Suite 100 Colleyville TX 76034-7906 Ph: (817) 354-7999 |
NPI Number | 1013169788 |
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Provider Enumeration Date | 10/14/2008 |
Last Update Date | 10/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013169788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G6754 (Texas) | Primary |
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