Provider Demographics
NPI:1477931129
Name:VOLBERDING, KRISTA (DO)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:VOLBERDING
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 HEARD ST
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-2748
Mailing Address - Country:US
Mailing Address - Phone:214-578-5873
Mailing Address - Fax:
Practice Address - Street 1:825 WATTERS CREEK BLVD STE 205
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3782
Practice Address - Country:US
Practice Address - Phone:469-496-5699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV5142207R00000X
TN3769207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine