MEDICARE: KRISTINA KRANINGER M.D.

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208000000X	Pediatrics Physician	S9334	TX

General Provider Information

NPI Number	:	1679816441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA KRANINGER M.D.

Provider Business Mailing Address
First Line	:	12606 W HOUSTON CENTER BLVD STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2787
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12606 W HOUSTON CENTER BLVD STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2787
Country	:	US
Telephone Number	:	281-589-9700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2013
Last Update Date	:	11/01/2021

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