Provider Demographics
NPI:1144381856
Name:HOWELL, KRISTINA MICHELLE (MD)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:MICHELLE
Last Name:HOWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1780 W. MCDERMOTT DR.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3363
Mailing Address - Country:US
Mailing Address - Phone:972-954-1471
Mailing Address - Fax:214-495-0933
Practice Address - Street 1:3321 COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210
Practice Address - Country:US
Practice Address - Phone:940-898-0095
Practice Address - Fax:940-898-0096
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10787207L00000X
TXJ0005208VP0014X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E92445Medicare UPIN
MT011000077Medicare PIN