Individual
KRISTEN MICHELLE ANKROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PKWY STE 210, LAKEWAY, TX 78738-1793
(512) 654-1234
(512) 654-0321
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10057666
TX
207R00000X
Internal Medicine Physician
S1927
TX
207RG0100X
Gastroenterology Physician
Primary
S1927
TX
Other
Enumeration date
05/07/2016
Last updated
08/09/2022
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