Individual
KRISTA MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8140 N MOPAC EXPY STE 3-210, AUSTIN, TX 78759-8862
(512) 343-2292
(512) 343-2745
Mailing address
8140 N MOPAC EXPY STE 3-210, AUSTIN, TX 78759-8862
(512) 343-2292
(512) 343-2745
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
687732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1651978-03
—
TX
01
—
89257U
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/10/2005
Last updated
05/18/2011
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