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Contact Information

KRISTINE LICENSED SURGICAL ASSISTANT
515 KINGS RD
DOUBLE OAK, TX75077-3028
 Phone: 214-227-2457
 Fax: 972-463-7247
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for KRISTINE LICENSED SURGICAL ASSISTANT

NPI Number 1780934273
LBN Legal business name KRISTINE LICENSED SURGICAL ASSISTANT
Authorized official KRISTINE KRUEGER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/12/2012
Last updated 09/12/2012 - About 14 years ago
Identifiers
TX License # SA00357
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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