Individual provider · NPI-1
Kristy Lynn Janak
Clinic/Center, Health Services · Conroe, TX
NPI number1740011956
StatusActive
Last updated in NPPESAug 9, 2024
Details
- NPI
- 1740011956
- Entity type
- Individual (NPI-1)
- Name
- Kristy Lynn Janak
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2024
- Certification date
- Aug 9, 2024
- Last updated
- Aug 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
| 174400000X | Specialist | – | – | |
| 171400000X | Health & Wellness Coach | – | – | |
| 174H00000X | Health Educator | – | – | |
| 374700000X | Technician | – | – |
Practice location
12244 Serenity Rose DrConroe, TX 77304-4167
Phone 979-332-2953
Mailing address
2000 Hughes Landing Blvd Apt 635The Woodlands, TX 77380-4136
Phone 979-332-2953
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