Provider Demographics
NPI:1184890089
Name:GAILLOUX, KRISTIN EARLENE (RRT-NPS, CPFT)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:EARLENE
Last Name:GAILLOUX
Suffix:
Gender:F
Credentials:RRT-NPS, CPFT
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:JENNINGS
Other - Last Name:KUHLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4147 GOODNIGHT CIR
Mailing Address - Street 2:
Mailing Address - City:HALTOM CITY
Mailing Address - State:TX
Mailing Address - Zip Code:76137-2637
Mailing Address - Country:US
Mailing Address - Phone:817-479-6932
Mailing Address - Fax:
Practice Address - Street 1:4147 GOODNIGHT CIR
Practice Address - Street 2:
Practice Address - City:HALTOM CITY
Practice Address - State:TX
Practice Address - Zip Code:76137-2637
Practice Address - Country:US
Practice Address - Phone:214-505-5297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66808227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered