Individual
KRISTE K HAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11970 N CENTRAL EXPY STE 210, DALLAS, TX 75243-3784
(214) 575-5885
(907) 785-4662
Mailing address
11970 N CENTRAL EXPY STE 210, DALLAS, TX 75243-3784
(940) 381-2003
(940) 483-1221
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00112
TX
363AS0400X
Surgical Physician Assistant
Primary
PA00112
TX
Other
Enumeration date
02/06/2007
Last updated
09/15/2022
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