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KRISTOPHER BLAKE MCCALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
208 GASLIGHT BLVD, LUFKIN, TX 75904-3166
(936) 638-8004
Mailing address
208 GASLIGHT BLVD, LUFKIN, TX 75904
(936) 634-8800

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
29074
OK
207X00000X
Orthopaedic Surgery Physician
Primary
R1582
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200445890A
OK
Enumeration date
05/30/2012
Last updated
07/21/2022
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