NPI 1013216753

Krysten Berry Longoria, PA

Practitioner Physician Assistant Temple, TX

Practice location

Address: 2401 S. 31st Street, Temple, TX 76508
Phone: (254) 724-0454
Mailing address: PO Box 844658, Dallas, TX 75284-4658

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA07294 (TX)

Other Physician Assistant providers in Texas →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1013216753
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2011
Record last updated: 2 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.