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Individual

KRYSTAL JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 233-1999
(972) 233-3666

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
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