Provider Demographics
NPI:1831267046
Name:WALLS, KRISTEN MARIE-PARYS (DC)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:MARIE-PARYS
Last Name:WALLS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KRISTEN
Other - Middle Name:MARIE
Other - Last Name:PARYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:51633 US HIGHWAY 69 N
Mailing Address - Street 2:
Mailing Address - City:BULLARD
Mailing Address - State:TX
Mailing Address - Zip Code:75757-5546
Mailing Address - Country:US
Mailing Address - Phone:214-455-1915
Mailing Address - Fax:
Practice Address - Street 1:51633 US HIGHWAY 69 N
Practice Address - Street 2:
Practice Address - City:BULLARD
Practice Address - State:TX
Practice Address - Zip Code:75757-5546
Practice Address - Country:US
Practice Address - Phone:972-680-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9929111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX27-1969833OtherTAX ID NUMBER
TX612022Medicare ID - Type Unspecified
TXV07029Medicare UPIN