Provider Demographics
NPI:1154584571
Name:ANDRUSKA, KRISTIN M (PA)
Entity type:Individual
Prefix:MISS
First Name:KRISTIN
Middle Name:M
Last Name:ANDRUSKA
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Gender:F
Credentials:PA
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Mailing Address - Street 1:10100 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 560
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4159
Mailing Address - Country:US
Mailing Address - Phone:469-964-8903
Mailing Address - Fax:469-916-0089
Practice Address - Street 1:10100 N CENTRAL EXPY
Practice Address - Street 2:SUITE 560
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4159
Practice Address - Country:US
Practice Address - Phone:469-964-8903
Practice Address - Fax:469-916-0089
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2014-11-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical