Individual
DR. KRISTI RENEE WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1520 S BROADWAY ST, SULPHUR SPRINGS, TX 75482-4922
(903) 885-7999
(903) 439-6322
Mailing address
1520 S BROADWAY ST, SULPHUR SPRINGS, TX 75482-4922
(903) 885-7999
(903) 439-6322
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5932TG
TX
152WC0802X
Corneal and Contact Management Optometrist
5932TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0930075-01
—
TX
05
—
P08820K04
—
TX
Enumeration date
11/15/2005
Last updated
10/08/2024
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