Port, Kristina
Port, Kristina is an sole proprietor health care provider with primary practice located at 33518 Haley Rd # 1 , Waller TX 77484-5110. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as her primary health care specialty. Port, Kristina can be contacted via phone (888) 344-2947.Contact Information
Primary practice address
33518 Haley Rd # 1
Waller TX 77484-5110
Phone: (888) 344-2947
Fax: (281) 622-4381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic | 246ZE0600X |
Profile Details
| NPI number | 1164826103 |
|---|---|
| LBN Legal business name | Port, Kristina |
| Credentials | CNIM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2014 |
| Last updated | Oct 20th, 2014 - about 10 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 | 1164826103 | NPPES |
| Other | 292 | R EEG T | |
| Other | 199 | R EEG T | |
| Other | 450 | R EEG T |
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