Provider Demographics
NPI:1891093415
Name:TEJML, KRISTA K (MD)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:K
Last Name:TEJML
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:DIANE
Other - Last Name:KOCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:929 GESSNER ROAD
Mailing Address - Street 2:SUITE 2150
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2583
Mailing Address - Country:US
Mailing Address - Phone:713-935-9791
Mailing Address - Fax:713-935-0820
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:SUITE 800
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2527
Practice Address - Country:US
Practice Address - Phone:713-465-5966
Practice Address - Fax:713-490-1996
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-06
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8860207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology