Individual
KRIS HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(214) 590-8377
Mailing address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(214) 590-8377
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1530
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831198506
—
TX
Enumeration date
02/01/2011
Last updated
02/08/2011
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