Provider Demographics
NPI:1912367053
Name:HALL, KRISTINA TURK (NP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:TURK
Last Name:HALL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 N FM 1187
Mailing Address - Street 2:
Mailing Address - City:ALEDO
Mailing Address - State:TX
Mailing Address - Zip Code:76008-4200
Mailing Address - Country:US
Mailing Address - Phone:817-441-7181
Mailing Address - Fax:817-447-4787
Practice Address - Street 1:317 N FM 1187
Practice Address - Street 2:
Practice Address - City:ALEDO
Practice Address - State:TX
Practice Address - Zip Code:76008-4200
Practice Address - Country:US
Practice Address - Phone:817-441-7181
Practice Address - Fax:817-447-4787
Is Sole Proprietor?:No
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130433363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily