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NPI Code Detail

MEDICARE: KRISTI KWAY

MEDICARE:   KRISTI  KWAY
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine PhysicianV6979TX

General Provider Information

NPI Number : 1225788854
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTI KWAY
Provider Business Mailing Address
First Line : 1400 8TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 BAYLOR PLZ
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3411
Country : US
Telephone Number : 713-798-6907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2022
Last Update Date : 03/04/2026

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Directions to “ KRISTI KWAY ” Practice Location

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