Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | T0255 | TX |
NPI | 1396193983 |
---|---|
Provider Name | Carla Khalaf Mcstay |
First Address | Dallas, TX 75284-7208 |
Second Address | Dallas, TX 75390-3410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2016 |
Last Update Date | 21/07/2021 |