Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | P7753 | TX |
NPI | 1023277936 |
---|---|
Provider Name | Kristin Knight Constantine |
First Address | Arlington, TX 76014-2069 |
Second Address | Arlington, TX 76014-2069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2008 |
Last Update Date | 03/06/2014 |