Individual
KRISTEN NICOLE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030
(713) 792-2991
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(137) 922-9917
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301109194
MI
207N00000X
Dermatology Physician
Primary
Q5918
TX
207R00000X
Internal Medicine Physician
BP10043167
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380575601
—
TX
01
—
380575602
MEDICAID CSHCN
TX
Enumeration date
04/12/2012
Last updated
05/16/2018
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