Wall, Krista
Wall, Krista is an individual health care provider with primary practice located at 3840 Hulen St Htn, Client Accounting, Fort Worth TX 76107-7277. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wall, Krista can be contacted via phone (817) 569-4300.Contact Information
Primary practice address
3840 Hulen St Htn, Client Accounting
Fort Worth TX 76107-7277
Phone: (817) 569-4300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 18544 | Texas |
Profile Details
| NPI number | 1689930109 |
|---|---|
| LBN Legal business name | Wall, Krista |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2012 |
| Last updated | Nov 16th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689930109 | NPPES |
| Texas | Other | 81S693 | BCBS |
| Texas | MEDICAID | 295700301 | BCBS |
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