Provider Demographics
NPI:1558583039
Name:KASER, KRISTIN P (CPNP)
Entity Type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:P
Last Name:KASER
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 LYNDON B JOHNSON FWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-1337
Mailing Address - Country:US
Mailing Address - Phone:214-670-6555
Mailing Address - Fax:214-670-7140
Practice Address - Street 1:8001 LYNDON B JOHNSON FWY
Practice Address - Street 2:SUITE 200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-1337
Practice Address - Country:US
Practice Address - Phone:214-670-6555
Practice Address - Fax:214-670-7140
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX615316363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics