Provider Demographics
NPI:1982717492
Name:KRIVAN, JAMES FRANK (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FRANK
Last Name:KRIVAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:9090 GAYLORD ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2966
Mailing Address - Country:US
Mailing Address - Phone:713-464-8905
Mailing Address - Fax:713-461-7383
Practice Address - Street 1:9090 GAYLORD ST
Practice Address - Street 2:SUITE 103
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2966
Practice Address - Country:US
Practice Address - Phone:713-464-8905
Practice Address - Fax:713-461-7383
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX085461223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics