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NPI Code Detail

MEDICARE: KRISTINA BLEGEN DO

MEDICARE: KRISTINA BLEGEN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207NP0225XPediatric Dermatology PhysicianT6520TX
2207N00000XDermatology PhysicianT6520TX

General Provider Information

NPI Number : 1598227670
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA BLEGEN DO
Provider Business Mailing Address
First Line : 1 BAYLOR PLZ
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3411
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3320 OAKWELL CT
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78218-3128
Country : US
Telephone Number : 210-829-5180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2019
Last Update Date : 06/26/2025

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Directions to “ KRISTINA BLEGEN DO” Practice Location

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