Individual
KRISTA M PUTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-1475
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6163
(682) 885-6121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
63333
AZ
208000000X
Pediatrics Physician
T7334
TX
208M00000X
Hospitalist Physician
Primary
T7334
TX
Other
Enumeration date
05/11/2018
Last updated
12/02/2024
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