Wusterhausen, Kris H
Wusterhausen, Kris H is an individual health care provider with primary practice located at 1517 Texas Drive , Weatherford TX 76086-6327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wusterhausen, Kris H can be contacted via phone (817) 458-3300.Contact Information
Primary practice address
1517 Texas Drive
Weatherford TX 76086-6327
Phone: (817) 458-3300
Fax: (817) 458-3370
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K8703 | Texas |
Profile Details
NPI number | 1780681114 |
---|---|
LBN Legal business name | Wusterhausen, Kris H |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2005 |
Last updated | Jul 12th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780681114 | NPPES |
Texas | MEDICAID | 144541302 | |
Texas | Other | 137469 | |
Texas | Other | 8H0110 |
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