Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | R1965 | TX |
Y | 207YP0228X | Pediatric Otolaryngology | R1965 | TX |
NPI | 1326337288 |
---|---|
Provider Name | Kristen Lynn Honsinger |
First Address | Dallas, TX 75373-3784 |
Second Address | Fort Worth, TX 76104-2722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2011 |
Last Update Date | 21/04/2021 |