Blank, Kristie Liska

Blank, Kristie Liska is an individual health care provider with primary practice located at 3144 Horizon Rd Ste 210 , Rockwall TX 75032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Blank, Kristie Liska can be contacted via phone (972) 771-2222.

Contact Information

Primary practice address
3144 Horizon Rd Ste 210 Rockwall TX 75032
Phone: (972) 771-2222
Fax: (972) 771-3350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X M6531 Texas

Profile Details

NPI number 1962606566
LBN Legal business name Blank, Kristie Liska
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Jun 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962606566 NPPES
Texas Other 8CY616 BCBSTX
Texas Other P00467137 BCBSTX
Texas MEDICAID 1885543-02 BCBSTX

Popular Providers