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Kimberly Udell D.o., P.a.
Specialist in Arlington, Texas
NPI 1013103191

Kimberly Udell D.o., P.a. is a Specialist based in Arlington, TX. Kimberly Udell D.o., P.a. practices in Arlington, TX. The NPI Number for Kimberly Udell D.o., P.a. is 1013103191 and holds a License No. L1225 (Texas).

The current practice location address for Kimberly Udell D.o., P.a. is 3602 Matlock Rd Ste 206, Arlington, TX and can be reached out via phone at 817-468-1506 and via fax at 817-468-1520.

Location: 3602 Matlock Rd Ste 206, Arlington, TX, 76015-3600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013103191
Provider Name
Kimberly Udell D.o., P.a.
Credential
Provider Entity Type
Organization
Address
3602 Matlock Rd Ste 206, Arlington, TX, 76015-3600
Phone Number
817-468-1506
Fax Number
817-468-1520
Provider Enumeration Date
09/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
165666201 05 TX
8P5630 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3602 Matlock Rd Ste 206
City
Arlington
State
Texas
Zip
76015-3600
Phone Number
817-468-1506
Fax Number
817-468-1520
person
Provider Business Mailing Address Details
Address
3602 Matlock Rd Ste 206
City
Arlington
State
Texas
Zip
76015-3600
Phone Number
817-468-1506
Fax Number
817-468-1520
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
L1225 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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