NPI 1821433004 · live from the CMS NPI Registry
Adean Kingston MD PLLC
Dermatology in Dallas, TX. National Provider Identifier 1821433004, active.
NPI record
| NPI | 1821433004 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 4514 Cole Ave, Suite 910, Dallas, TX 75205 |
| Practice phone | 214-420-3376 |
| Enumerated | May 1, 2013 |
| Last updated | May 1, 2013 |
| Authorized official | Adean Kingston, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | N0170 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.