IndividualActive
Kristen Dewilde, M.D.
NPI 1306073911 · Family Medicine Physician · Jbsa Lackland, TX
Provider details
- NPI number
- 1306073911
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25878 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone: (210) 292-3210
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Registry dates
- Enumerated
- 2009-06-22
- Last updated
- 2021-06-15
- Certified
- 2021-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.