IndividualActive
Kristina Port, CNIM
NPI 1164826103 · Electroneurodiagnostic Specialist/Technologist · Waller, TX
Provider details
- NPI number
- 1164826103
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CNIM
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
33518 Haley Rd # 1
Waller, TX 77484-5110
Phone: (888) 344-2947
Fax: (281) 622-4381
Approximate (ZIP-level) locationGet directions
Mailing address
33518 Haley Rd # 1
Waller, TX 77484-5110
Registry dates
- Enumerated
- 2014-10-20
- Last updated
- 2014-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.