SHATORYA ANN MODKINS

Preferred Provider Organization

Active Organization
NPI: 1164669974

Practice Address

4342 LASHLEY DR
Dallas, TX 75232

Phone: (214) 208-6402

Specialties

Specialty Code Primary License
Preferred Provider Organization 305R00000X Yes -

Frequently Asked Questions

NPI 1164669974 is the National Provider Identifier for SHATORYA ANN MODKINS, a Preferred Provider Organization provider located in Dallas, TX. This NPI was enumerated on January 15, 2009.

Quick Facts

NPI
1164669974
Type
Organization
Enumerated
Jan 15, 2009
Last Updated
Jan 15, 2009

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