Provider Demographics
NPI:1780473850
Name:JAMES, KRISTIAN (DR)
Entity type:Individual
Prefix:
First Name:KRISTIAN
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 GARDEN ACRES DR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-7220
Mailing Address - Country:US
Mailing Address - Phone:713-447-4859
Mailing Address - Fax:
Practice Address - Street 1:253 GARDEN ACRES DR
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-7220
Practice Address - Country:US
Practice Address - Phone:713-447-4859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1399221225100000X
VACP044226T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist