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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENTORIA TATUM

Active Sole Proprietor

KENTORIA TATUM is a Prosthetic/Orthotic Supplier healthcare provider located in DALLAS, Texas. NPI 1821864463 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · DALLAS, TX

Registration Details

NPI Number
1821864463
Provider Type
Individual
Gender
Female
NPI Issued
Nov 27, 2023 (2.6963849567703 yrs)
Last Updated
Nov 27, 2023
Sole Proprietor
Yes

Practice Information

Address
4245 N CENTRAL EXPY STE 490
DALLAS, TX, 752054231
Browse TX providers · Browse ZIP 75205
Phone
4692456831
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X

Other Prosthetic/Orthotic Supplier Providers in DALLAS, TX

Name Credential NPI
TIFFANY RODGERS 1326585506
ASHLEY FERGUSON 1841780962
CHENGETAI BEVERLY MATENGENZARA 1710447388
MARVIN FRIEDMAN 1912535121
SHANA MARIE STEWART 1457073934
LAKRISTIE RESHELLE GAMBLE 1366145419
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.