Wilburn Wren, Kristie R
Wilburn Wren, Kristie R is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-9032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wilburn Wren, Kristie R can be contacted via phone (214) 648-3280.Contact Information
Primary practice address
5323 Harry Hines Blvd
Dallas TX 75390-9032
Phone: (214) 648-3280
Fax: (214) 648-7611
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 39597 | Tennessee |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | P4528 | Texas |
Profile Details
NPI number | 1295738615 |
---|---|
LBN Legal business name | Wilburn Wren, Kristie R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2005 |
Last updated | Apr 22nd, 2016 - about 8 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 | 1295738615 | NPPES |
Tennessee | MEDICAID | 3330159 | |
Tennessee | Other | 4105263 |
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