Individual
KRISTINA IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2001 N MACARTHUR BLVD, SUITE 255, IRVING, TX 75061-2256
(972) 215-7700
(972) 215-7711
Mailing address
2001 N MACARTHUR BLVD, SUITE 255, IRVING, TX 75061-2256
(972) 215-7700
(972) 215-7711
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01416
TX
Other
Enumeration date
09/07/2006
Last updated
12/23/2013
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