Blank, Kristie Liska
Blank, Kristie Liska is an individual health care provider with primary practice located at 3144 Horizon Rd Ste 210 , Rockwall TX 75032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Blank, Kristie Liska can be contacted via phone (972) 771-2222.Contact Information
Primary practice address
3144 Horizon Rd Ste 210
Rockwall TX 75032
Phone: (972) 771-2222
Fax: (972) 771-3350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | M6531 | Texas |
Profile Details
| NPI number | 1962606566 |
|---|---|
| LBN Legal business name | Blank, Kristie Liska |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Jun 27th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962606566 | NPPES |
| Texas | Other | 8CY616 | BCBSTX |
| Texas | Other | P00467137 | BCBSTX |
| Texas | MEDICAID | 1885543-02 | BCBSTX |
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