| Doctor Name: | KRISTEN L CASENAVE |
| NPI Number: | 1770542078 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | L0070 |
| Business Practice Address: | 12221 Merit Dr Ste 460 Dallas, TX - 752512202 |
| Business Phone Number: | 4693743850 |
| Business Fax Number: | 4693743851 |
| Mailing Address: | 12221 Merit Dr, Ste 460 DALLAS |
| State: | TX |
| Postal Code: | 752512202 |
| Phone Number: | 4693743850 |
| Fax Number: | 4693743851 |
| NPI Enumeration Date: | 03/23/2006 |
| NPI Last Update Date: | 01/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | L0070 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |