Provider Demographics
NPI:1508841644
Name:SARGENT, KRISTIN ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:ANNE
Last Name:SARGENT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5717 BALCONES DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4203
Mailing Address - Country:US
Mailing Address - Phone:512-327-7000
Mailing Address - Fax:512-314-1660
Practice Address - Street 1:1700 S MO PAC EXPY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:512-327-7000
Practice Address - Fax:512-314-1660
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0552207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7553003OtherAETNA
TX105741607Medicaid
32951-020OtherDAVIS VISION
55343-003OtherDAVIS VISION
TX4194299OtherBLUELINK
SCP00173793Medicare PIN
TX8F4641OtherBLUE CROSS BLUE SHIELD
TX0552OtherEYEMED
TX8C2494Medicare PIN
VP17199OtherGE WELLNESS
G94299Medicare UPIN
TX105741606Medicaid
TX8B6567Medicare PIN
TX921326OtherBLOCK VISION
145799100OtherFIRST CARE
TX10030219OtherAMERIGROUP