Individual
KRISTEN MICHELLE BOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
4440 E HIGHWAY 287, MIDLOTHIAN, TX 76065-5576
(972) 723-5590
(972) 723-5592
Mailing address
4440 E HIGHWAY 287, MIDLOTHIAN, TX 76065-5576
(972) 723-5590
(972) 723-5592
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
TX
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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