Kristal L Woldu

M.D. | Pediatric Cardiology | Female

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Complete Profile:

Kristal L Woldu basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Kristal L Woldu
Other Name :	Kristal Larsen
Credential :	M.D.
Gender :	Female

Business Address:

Kristal L Woldu address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1500 Cooper St Fort Worth, TX, 76104-2710 United States
Phone Number :	682-885-4197

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1134446073
NPI Entity Type :	Individual
First Enrolment Date :	03 May, 2010
Last Updated On :	21 Jul, 2022

Medicare Participation:

Kristal L Woldu participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5294003885
Medicare Enrollment ID :	I20170623000528
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Other
Graduation Year :	2010
Accepts Medicare?	Yes. Kristal L Woldu accepts medicare insurance.

Group Practice Association:

Kristal L Woldu is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Kristal L Woldu is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Cook Childrens Physician Network	7719884584	201	1500 Cooper St Fort Worth, TX - 761042710 Ph: 6828854007	Yes
Cook Childrens Physician Network	7719884584	201	801 7th Ave Fort Worth, TX - 761042733	Yes
Cook Childrens Physician Network	7719884584	201	801 7th Ave Ft Worth, TX - 761042733 Ph: 8178707946	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kristal L Woldu are as mentioned. Primary taxonomy code for Kristal L Woldu, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	Q9093	TX

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 733784 Dallas, TX, 75373-3784 United States
Phone Number :	682-885-6163

Business Location:

Patients can refer following map for directions to Kristal L Woldu practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.