Provider Demographics
NPI:1437442068
Name:MYSER, KRYSTEN (MD)
Entity Type:Individual
Prefix:DR
First Name:KRYSTEN
Middle Name:
Last Name:MYSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 204823
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-4823
Mailing Address - Country:US
Mailing Address - Phone:972-694-7888
Mailing Address - Fax:
Practice Address - Street 1:14850 QUORUM DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-7566
Practice Address - Country:US
Practice Address - Phone:972-694-7888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ2029207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8FF445OtherBCBS
TX558149OtherPHYSICIAN IN TRAINING
TX419760YK6UMedicare PIN