Healthcare Provider Details

I. General information

NPI: 1013324771
Provider Name (Legal Business Name): KRISTA MICHELLE DOTSON SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. KRISTA MICHELLE QUINN

II. Dates (important events)

Enumeration Date: 07/15/2014
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 TWIN OAK
ADKINS TX
78101-2311
US

IV. Provider business mailing address

330 TWIN OAK
ADKINS TX
78101-2311
US

V. Phone/Fax

Practice location:
  • Phone: 210-201-6677
  • Fax:
Mailing address:
  • Phone: 210-201-6677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number110326
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: