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General NPI Number Information
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NPI Number | 1720001118
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Entity Type | Individual
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Provider Name | KRISTEN H GRABLE M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4645 SAMUELL BLVD
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City | DALLAS
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State | TX
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Zip | 75228-6826
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Country | US
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Telephone | 214-275-7393
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Fax | 214-381-6617
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Provider Business Mailing Address
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Address Line | PO BOX 1416
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City | ROCKWALL
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State | TX
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Zip | 75087-1416
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Country | US
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Telephone | 972-768-3900
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Fax | 214-381-6617
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | J8557
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License Number State | TX
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