MEDICARE: KRISTIN EARLENE GAILLOUX RRT-NPS, CPFT

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	227900000X	Registered Respiratory Therapist	66808	TX

General Provider Information

NPI Number	:	1184890089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN EARLENE GAILLOUX RRT-NPS, CPFT

Provider Business Mailing Address
First Line	:	4147 GOODNIGHT CIR
Second Line	:
City	:	HALTOM CITY
State	:	TX
Zip	:	76137-2637
Country	:	US
Telephone Number	:	817-479-6932
Fax Number	:

Provider Business Practice Location Address
First Line	:	4147 GOODNIGHT CIR
Second Line	:
City	:	HALTOM CITY
State	:	TX
Zip	:	76137-2637
Country	:	US
Telephone Number	:	214-505-5297
Fax Number	:

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

Provider Enumeration Date	:	05/01/2008
Last Update Date	:	05/01/2008

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