Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | P5274 | TX |
N | 207XS0106X | Orthopaedic Hand Surgeon | 250217 | MA |
NPI | 1275720211 |
---|---|
Provider Name | Dr. Kristen Elizabeth Fleager |
First Address | Grapevine, TX 76051-3930 |
Second Address | Grapevine, TX 76051-3930 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2007 |
Last Update Date | 27/04/2020 |