Individual
KRYSTAL JENSEN
Active
Individual
KRYSTAL JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P0068
TX
207L00000X
Anesthesiology Physician
RS20070421
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282866701
—
TX
01
—
8CX097
BLUE CROSS BLUE SHIELD
TX
01
—
P01061856
RR MEDICARE
TX
Enumeration date
06/22/2007
Last updated
02/28/2017
Update your record
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