Individual
KRYSTINE AWWILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7407 BROADWAY, SAN ANTONIO, TX 78209-3221
(281) 783-8162
Mailing address
5718 WESTHEIMER RD STE 1800, HOUSTON, TX 77057-5773
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1048304
TX
363LF0000X
Family Nurse Practitioner
1048304
TX
Other
Enumeration date
05/03/2022
Last updated
01/09/2023
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