Healthcare Provider Details

I. General information

NPI: 1477785574
Provider Name (Legal Business Name): KRIS L FOLEY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2009
Last Update Date: 08/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9441 LBJ FWY STE 101
DALLAS TX
75243-4566
US

IV. Provider business mailing address

4828 GRAHAM CT
THE COLONY TX
75056-1124
US

V. Phone/Fax

Practice location:
  • Phone: 214-575-9820
  • Fax:
Mailing address:
  • Phone: 972-768-8175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number105676
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: