KR Wellness Solutions PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KR WELLNESS SOLUTIONS PA

Practice address

2400 Highway 365 Ste 108
Nederland, TX 77627-6268

Phone

(409) 920-4037

NPI assigned

Apr 2, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kristopher Dela Cruz, MDNPI 1821403809

Title

President

Phone

(409) 527-1623

Specialties & licenses 3

Addresses

Other names 1

• STANDARD MEDICAL GROUP OF SOUTHEAST TEXAS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristopher Gabas Dela Cruz, M.D.

  • Internal Medicine Physician
  • Nederland, TX
  • NPI 1821403809
  Medicare reassignment NPD Authorized official
• Dianna Velicia Belaire, NP-C

  • Family Nurse Practitioner
  • Port Arthur, TX
  • NPI 1689038655
  Medicare reassignment NPD
• Stephanie Rachele Cloud, APRN, FNP-C

  • Family Nurse Practitioner
  • Nederland, TX
  • NPI 1558073973
  Medicare reassignment NPD
• Tung Van Hoang, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Port Arthur, TX
  • NPI 1578038527
  Medicare reassignment NPD
• John Carlo Sy Pang, FNP-C

  • Family Nurse Practitioner
  • Port Arthur, TX
  • NPI 1851049902
  NPD
• Ella Donaldo Cordovez, NP

  • Adult Health Nurse Practitioner
  • Port Neches, TX
  • NPI 1689017188
  NPD (past)
• Oscar Olfindo Enriquez, MD

  • Internal Medicine Physician
  • Port Arthur, TX
  • NPI 1487737219
  NPD (past)
• Carolyn S Williams, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Gainesville, GA
  • NPI 1538533906
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1992509665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 FARM TO MARKET ROAD 365",
            "address_2": "540",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276270",
            "telephone_number": "409-724-3053",
            "fax_number": "409-724-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HIGHWAY 365 STE 108",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276268",
            "telephone_number": "409-920-4037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8333 9th Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776428151",
            "country_code": "US",
            "telephone_number": "409-727-2808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 Hospital Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014655",
            "country_code": "US",
            "telephone_number": "409-833-2266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3712 Gulfway Dr",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776422828",
            "country_code": "US",
            "telephone_number": "409-332-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KR WELLNESS SOLUTIONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-527-1623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STANDARD MEDICAL GROUP OF SOUTHEAST TEXAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kahtan a. Kaissi, MD
• Kahtan A. Kaissi, M.D.
• Kalto Occupational
• Zainab Zamir Kayani, DO
• Kotzur Huber LLP
• Baylor W Kurtis
• Kyler Counseling PLLC
• Robert G. Kyler, M.A.,LPC
• Galen Edmund Lacy, DDS
• Brian Eric Lecompte, MD

• Internal Medicine Physician in Nederland, TX
• Providers in Nederland, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.