Individual
KRISTINA MARIE ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1018 N ZANG BLVD STE 110, DALLAS, TX 75208-4123
(972) 266-8765
(972) 266-5511
Mailing address
1018 N ZANG BLVD STE 110, DALLAS, TX 75208-4123
(972) 266-8765
(972) 266-5511
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
F02250519
TX
363L00000X
Nurse Practitioner
Primary
F02250519
TX
Other
Enumeration date
03/05/2025
Last updated
01/15/2026
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