Individual
MR. ERIC ANDREW KRISTOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 LEBANON RD, FRISCO, TX 75035-6555
(972) 712-8338
Mailing address
PO BOX 560817, THE COLONY, TX 75056-0817
(972) 998-7331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
765933
TX
225700000X
Massage Therapist
MI2983
TX
225700000X
Massage Therapist
Primary
MT037254
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
765933
REGISTERED NURSE , TEXAS
TX
01
—
MI2983
MASSAGE THERAPY INSTRUCTOR, TEXAS
TX
01
—
MT03754
MASSAGE THERAPIST, TEXAS
TX
Enumeration date
08/11/2020
Last updated
08/11/2020
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