Eubank, Kathryn Jean
Eubank, Kathryn Jean is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7201. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Eubank, Kathryn Jean can be contacted via phone (214) 648-2992.Contact Information
Primary practice address
5323 Harry Hines Blvd
Dallas TX 75390-7201
Phone: (214) 648-2992
Fax: (214) 648-2087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | D0056806 | Maryland |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | N7254 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N7254 | Texas |
Profile Details
| NPI number | 1508911181 |
|---|---|
| LBN Legal business name | Eubank, Kathryn Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jun 13th, 2012 - about 14 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 | 1508911181 | NPPES |
| Texas | MEDICAID | 186882001 |
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