Individual
MRS. KRISTEN ANNE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
19007 AQUATIC DR, HUMBLE, TX 77346-8029
(713) 819-3382
Mailing address
19007 AQUATIC DR, HUMBLE, TX 77346-8029
(713) 819-3382
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
110511
TX
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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