MEDICARE: KRISTEN ELIZABETH MCARVER

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	124Q00000X	Dental Hygienist	21220	TX

General Provider Information

NPI Number	:	1326759523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN ELIZABETH MCARVER

Provider Business Mailing Address
First Line	:	101 AVENUE F
Second Line	:
City	:	BAY CITY
State	:	TX
Zip	:	77414
Country	:	US
Telephone Number	:	979-217-8829
Fax Number	:	979-217-8829

Provider Business Practice Location Address
First Line	:	205 IDA AVE
Second Line	:
City	:	BAY CITY
State	:	TX
Zip	:	77414-3144
Country	:	US
Telephone Number	:	979-245-2008
Fax Number	:	979-217-8829

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

Provider Enumeration Date	:	12/08/2022
Last Update Date	:	12/08/2022

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Directions to “ KRISTEN ELIZABETH MCARVER ” Practice Location

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