MEDICARE: CHRISTINA M. MYINT 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	207R00000X	Internal Medicine Physician	K2758	TX

General Provider Information

NPI Number	:	1790702397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA M. MYINT M.D.

Provider Business Mailing Address
First Line	:	P.O. BOX 961205
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76161-1205
Country	:	US
Telephone Number	:	817-740-8450
Fax Number	:

Provider Business Practice Location Address
First Line	:	7515 GREENVILLE AVE STE 503
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-3865
Country	:	US
Telephone Number	:	214-239-1938
Fax Number	:	214-239-1939

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	09/20/2019

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