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Organization

KRISTI SUMPTER, DO, PA

Active
Other names
Winds of Change Cosmetic Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTI KAYE SUMPTER M.D. (PRESIDENT)
(281) 894-9990
Entity
Organization

Contact information

Practice address
12827 JONES RD, HOUSTON, TX 77070-4605
(281) 894-9990
(281) 894-9993
Mailing address
12827 JONES RD, HOUSTON, TX 77070-4605
(281) 894-9990
(281) 894-9993

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L0630
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
L0630
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0025JV
BCBS
05
040033502
TX
Enumeration date
09/20/2006
Last updated
08/16/2012
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