Individual
KRISTEN HIBBS ERICKSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
709 HOLLYBROOK DR STE 4500, LONGVIEW, TX 75605-2412
(903) 757-6042
(903) 291-6286
Mailing address
PO BOX 610393, DALLAS, TX 75261-0393
(903) 291-6187
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
Q7551
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360637802
—
TX
Enumeration date
04/28/2011
Last updated
09/23/2019
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