Individual
MS. KRISTINA BAUCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
912 TELLURIDE DR, WACO, TX 76712-8783
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
813289
TX
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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