Healthcare Provider Details

I. General information

NPI: 1184357485
Provider Name (Legal Business Name): KRISTEN DINCAL DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN BOOTH

II. Dates (important events)

Enumeration Date: 07/05/2022
Last Update Date: 10/11/2025
Certification Date: 10/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11800 ASTORIA BLVD
HOUSTON TX
77089-6041
US

IV. Provider business mailing address

1918 RESTRIDGE DR
HOUSTON TX
77055-1404
US

V. Phone/Fax

Practice location:
  • Phone: 281-929-6100
  • Fax:
Mailing address:
  • Phone: 512-983-0678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number137421
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: