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Individual
DR. JOHN W KRISTENSEN
Active
Individual
DR. JOHN W KRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G2414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000047206501
UNITED HEALTHCARE
TX
01
—
00SH91
BC/BS OF TEXAS
TX
01
—
110005062
RAILROAD MEDICARE
TX
05
—
121472802
—
TX
01
—
135937100
VALLEY BAPTIST HEALTH PLANS
TX
01
—
2869048P01
CIGNA
TX
01
—
4357806
AETNA
TX
01
—
742591908
TRICARE (PGBA)
TX
Enumeration date
07/06/2005
Last updated
06/13/2008
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