Individual provider · Type 1 NPI

Courtney Kay Cloud, PAC

Surgical Physician Assistant · Dallas, TX

NPI number 1174653448 Active

Practice location

7515 Greenville Ave, Suite 1030
Dallas, TX 75231-3831

Call (214) 691-2111 Map

Fax (469) 916-8713

Mailing address

5060 Addison Cir Apt 3835
Addison, TX 75001-6686

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA05170 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1174653448

Courtney Kay Cloud, PAC's National Provider Identifier is 1174653448, issued on Mar 6, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dallas, TX. The record was last updated on Aug 22, 2012.