Provider Demographics
NPI:1720652217
Name:ATEN, KRISTOPHER FRANK (DO)
Entity Type:Individual
Prefix:
First Name:KRISTOPHER
Middle Name:FRANK
Last Name:ATEN
Suffix:
Gender:M
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:MDMC 5TH FLOOR 1441 N. BECKLEY AVE.
Mailing Address - Street 2:GRADUATE MEDICAL EDUCATION
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203
Mailing Address - Country:US
Mailing Address - Phone:214-947-2348
Mailing Address - Fax:214-946-2358
Practice Address - Street 1:MDMC 5TH FLOOR 1441 N. BECKLEY AVE.
Practice Address - Street 2:GRADUATE MEDICAL EDUCATION
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203
Practice Address - Country:US
Practice Address - Phone:214-947-2348
Practice Address - Fax:214-946-2358
Is Sole Proprietor?:No
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program