Individual
KRISTEN JENNIFER WALLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2915 W BITTERS RD STE 201, SAN ANTONIO, TX 78248-2007
(210) 598-2800
Mailing address
7105 CREIGHTON LN, AUSTIN, TX 78723-1539
(609) 721-8667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9112842
FL
246ZC0007X
Surgical Assistant
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9112842
—
FL
Enumeration date
02/06/2020
Last updated
10/08/2025
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