Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A99693 | CA |
N | 208000000X | Pediatrician | P3748 | TX |
Y | 2080P0203X | Pediatric Critical Care Doctor | P3748 | TX |
NPI | 1003024258 |
---|---|
Provider Name | Dr. Kristina Kypuros |
First Address | San Antonio, TX 78207-3108 |
Second Address | El Paso, TX 79905-2709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2007 |
Last Update Date | 11/11/2021 |