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Marisa Krisananuwatara
NPI 1336622646 · on the registry since 2018
Practice
- Address
- 12021 Metric Blvd
Austin, TX 78758 - Phone
- (512) 228-3300
- Organisation at this address
- Pm Management-Austin Nc Llc
Winnie-Stowell Hospital DistrictInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas