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Organization

KRIS H WUSTERHAUSEN DO PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRIS H WUSTERHAUSEN D.O. (PHYSICIAN)
(817) 845-8322
Entity
Organization

Contact information

Practice address
747 S SUGARTREE DR, LIPAN, TX 76462-4328
(817) 845-8322
Mailing address
747 S SUGARTREE DR, LIPAN, TX 76462-4328
(817) 845-8322

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
K8703
TX

Other

Enumeration date
04/28/2010
Last updated
04/28/2010
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