Kristine Matlock
Individual provider Active NPI Doula · Sour Lake, TX
NPI 1982367652 · NPPES record last updated Oct 19, 2021
Key facts
- NPI
- 1982367652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 545 Elm St
Sour Lake, TX 77659-2839 - Phone
- (432) 215-0636
- NPI assigned
- Oct 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | TX | Yes |
Addresses
Primary practice location
545 Elm St
Sour Lake, TX 77659-2839
Mailing address
545 Elm St
Sour Lake, TX 77659-2839
Phone (432) 215-0636
Other names
- Krista Matlock
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | gatheringoak.doula@gmail.com |
Other providers in Sour Lake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.