Individual
KRISTINA MARIE DENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 N KIMBALL AVENUE, STE #100, SOUTHLAKE, TX 76092-9255
(817) 421-8777
(817) 421-4388
Mailing address
4323 SODA RIDGE RD, SOUTHLAKE, TX 76092-9255
(469) 371-9075
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M7904
TX
Other
Enumeration date
03/31/2007
Last updated
09/04/2014
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