Provider Demographics
NPI:1649618612
Name:GARRETT, KRISTI JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:JEAN
Last Name:GARRETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KRISTI
Other - Middle Name:JEAN
Other - Last Name:LARNED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4440 E HIGHWAY 287
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-5576
Mailing Address - Country:US
Mailing Address - Phone:972-723-5590
Mailing Address - Fax:972-723-5592
Practice Address - Street 1:4440 E HIGHWAY 287
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-5576
Practice Address - Country:US
Practice Address - Phone:972-723-5590
Practice Address - Fax:972-723-5592
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS1809207R00000X
ORMD175823207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine