Provider Demographics
NPI:1043444292
Name:KIRSTEN A. LENTSCH, MD, PA
Entity Type:Organization
Organization Name:KIRSTEN A. LENTSCH, MD, PA
Other - Org Name:CINCO RANCH PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LENTSCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-395-4300
Mailing Address - Street 1:3030 S MASON RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-7633
Mailing Address - Country:US
Mailing Address - Phone:281-395-4300
Mailing Address - Fax:
Practice Address - Street 1:3030 S MASON RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-7633
Practice Address - Country:US
Practice Address - Phone:281-395-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-02
Last Update Date:2009-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty