Provider Demographics
NPI:1336675990
Name:SEPTS, KRISTIE
Entity Type:Individual
Prefix:
First Name:KRISTIE
Middle Name:
Last Name:SEPTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5927 ALMEDA RD
Mailing Address - Street 2:21416
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7791
Mailing Address - Country:US
Mailing Address - Phone:832-965-7075
Mailing Address - Fax:
Practice Address - Street 1:5927 ALMEDA RD
Practice Address - Street 2:21416
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7791
Practice Address - Country:US
Practice Address - Phone:832-965-7075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor