CAREY S. PENNISTON, DO, PA
Marriage and Family Therapists at Garland Rd, Dallas, TX

License number
Texas N4659
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. CAREY PENNISTON DO
Title: PRESIDENT
Phone: (214) 321-2673
Address
Address
10534 Garland Rd SUITE B, Dallas, TX 75218
National Provider ID: 1558624411
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CAREY S. PENNISTON, D.O., PA

Mesquite, TX  -  Dallas, TX

Doing business as:
Carey S. Penniston, D.O., PA
Registration:
Feb 6, 2012
Addresses:
1910 Ln Prada Pkwy, Mesquite, TX 75150 (Mailing)
10534 Garland Rd, Dallas, TX 75218
State ID:
0801546794
Business type:
Professional Association
Secretary, Treasurer, Vice-President, Director, Member, President:
Carey S. Penniston (Secretary, Treasurer, Vice-President, Director, Member, President)
Agent:
Carey Penniston,1910 Ln Prada Dr, Mesquite, TX 75150 (Physical)
TIN:
32046868132

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