Organization
KRISTINE LICENSED SURGICAL ASSISTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE KRUEGER (OWNER)
(214) 227-2457
Entity
Organization
Contact information
Practice address
515 KINGS RD, DOUBLE OAK, TX 75077-3028
(214) 227-2457
(972) 463-7247
Mailing address
515 KINGS RD, DOUBLE OAK, TX 75077-3028
(214) 227-2457
(972) 463-7247
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
SA00357
TX
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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