Individual
KRISTIE MARIE WAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 ROGER BROOKE DRIVE, MCHE/ME, FORT SAM HOUSTON, TX 78234-6200
(210) 916-5545
Mailing address
3551 ROGER BROOKE DRIVE, MCHE/ME, FORT SAM HOUSTON, TX 78234-6200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
87793
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2012
Last updated
02/18/2021
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