KRISTINE LICENSED SURGICAL ASSISTANT
Nursing at Kings Rd, Lewisville, TX

License number
Texas SA00357
Category
Nursing
Type
Registered Nurse First Assistant
Owner
Name: KRISTINE KRUEGER
Title: OWNER
Phone: (214) 227-2457
Address
Address
515 Kings Rd, Lewisville, TX 75077
National Provider ID: 1780934273
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KRISTINE LICENSED SURGICAL ASSISTANT PLLC

515 Kings Rd, Lewisville, TX 75077

Doing business as:
Kristine Licensed Surgical Assistant Pll<br>Kristine Licensed Surgical Assistant Pllc
Registration:
Mar 12, 2012
State ID:
0801566125
Business type:
Domestic Limited Liability Company (LLC)
Members:
Kristine C Krueger (PRESIDENT, Director, President), 515 Kings Rd, Lewisville, TX 75077,Regess N. Krueger Member, inactive
Agent:
Regess N Krueger,515 Kings Rd, Lewisville, TX 75077 (Physical)
TIN:
32047318921

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