SearchTexas246ZC0007X

Kendall Polk, CSFA

NPI 1285009803 · on the registry since 2015 · sole proprietor

Practice

Address
205 Crenshaw Dr
Mansfield, TX 76063
Phone
(214) 927-6539
Fax
(817) 394-1231
Organisation at this address
Quality Assist, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
246ZC0007X
246ZC0007X
Also registered as
246ZS0410X
208600000X
246ZX2200X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas