NPI 1215305859

Kentucky Outpatient Services Psc

Organisation Health Maintenance Organization Dallas, TX

Practice location

Address: 13737 Noel Rd Suite 1400, Dallas, TX 75240-1331
Phone: (214) 712-2815

Authorised official

Name: Eddie M Stone
Title: President
Phone: (214) 712-2815

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1215305859
Entity type: Organization
NPI issued: 14 Sep 2015
Record last updated: 15 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.