Individual
KRISTINE TAWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
8201 AMERICAS CUP, ROWLETT, TX 75089-2626
(214) 914-5015
Mailing address
8201 AMERICAS CUP, ROWLETT, TX 75089-2626
(214) 914-5015
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99149
TX
Other
Enumeration date
04/11/2011
Last updated
03/22/2012
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