Individual
DR. KRISTALYNNE GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1002 GEMINI ST STE 128, HOUSTON, TX 77058-2746
(281) 218-9515
Mailing address
1002 GEMINI ST STE 128, HOUSTON, TX 77058-2738
(281) 218-9515
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD0000043524
TN
207L00000X
Anesthesiology Physician
N8920
TX
207LP3000X
Pediatric Anesthesiology Physician
MD0000043524
TN
207LP3000X
Pediatric Anesthesiology Physician
N8920
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2007
Last updated
10/18/2016
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