Wilburn Wren, Kristie R

Wilburn Wren, Kristie R is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-9032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wilburn Wren, Kristie R can be contacted via phone (214) 648-3280.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-9032
Phone: (214) 648-3280
Fax: (214) 648-7611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 39597 Tennessee
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X P4528 Texas

Profile Details

NPI number 1295738615
LBN Legal business name Wilburn Wren, Kristie R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Apr 22nd, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295738615 NPPES
Tennessee MEDICAID 3330159
Tennessee Other 4105263

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