Mccall, Kristopher Blake

Mccall, Kristopher Blake is an individual health care provider with primary practice located at 208 Gaslight Blvd , Lufkin TX 75904-3166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mccall, Kristopher Blake can be contacted via phone (936) 638-8004.

Contact Information

Primary practice address
208 Gaslight Blvd Lufkin TX 75904-3166
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 29074 Oklahoma
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X R1582 Texas

Profile Details

NPI number 1154682839
LBN Legal business name Mccall, Kristopher Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154682839 NPPES
Oklahoma MEDICAID 200445890A

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