Individual
KRISTA RENEE QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 LIPSCOMB ST STE 110, FORT WORTH, TX 76104-3181
(817) 348-8600
(817) 348-8602
Mailing address
1000 LIPSCOMB ST STE 110, FORT WORTH, TX 76104-3181
(817) 348-8600
(817) 348-8602
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP136152
TX
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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