Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | R5595 | TX |
NPI | 1073812897 |
---|---|
Provider Name | Dr. Kristen Mcmaster |
First Address | Jackson, MS 39216-4500 |
Second Address | Fort Worth, TX 76104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2011 |
Last Update Date | 22/08/2018 |