Individual
KRISTINA MARIE MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
405 LONDONDERRY DR STE 105, WACO, TX 76712-7920
(254) 776-0266
Mailing address
405 LONDONDERRY DR STE 105, WACO, TX 76712-7920
(254) 776-0266
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2018-00578
NC
207L00000X
Anesthesiology Physician
Primary
S5982
TX
Other
Enumeration date
05/07/2014
Last updated
06/29/2023
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