|||1|May 4, 2023|||1|500|||1|Devin Slick500|||1|500|||1|508 Pineview Drive
Euless TX Dear |||1|
Devin|||1|
:

After a review of your referral, Baylor Scott and White Health has sent your referral to the provider below.

You may want to contact 501|||1|
CIGNA501|||1|
to verify in-network coverage prior to your appointment. If you do not already have an appointment, please call to make an appointment
with 501|||1|***501|||1|501|||1|817-868-If you have any questions regarding the referral, please contact your referring provider 501|||1|
817-912-8800
501|||1|"

Sincerely,
Baylor Scott & White Health

Information for Referral #: 
501|||1|"26027548
501|||1|501|||1|Diagnoses:
782.1 (ICD-9-CM) - R21 (ICD-10-CM) - Rash501|||1|501|||1|Procedures:
REF19 - AMB REFERRAL TO DERMATOLOGY501|||1|Authorization #: 501|||1|501|||1|Referring Provider Information
501|||1|Stephen Dwayne Kindrick501|||1|501|||1|925 E SOUTHLAKE BLVD Suite 100
Southlake,  TX -912-Referring To Provider Information
501|||1|Sreedevi Kodali501|||1|501|||1|***501|||1|501|||1|501|||1|501|||1|5013 HERITAGE AVE
SUITE 100
COLLEYVILLE TX -868-Referral Start Date:
501|||1|04/19/2023
501|||1|Referral End Date:
501|||1|07/18/2024
501|||1|