P Praxis·MD
● Active Type 1 · Individual

Kristina Port, CNIM

Specialist/Technologist, Other·Waller, TX· NPI 1164826103 · Enumerated 2014 · 11 years on NPI
Port is 1 of 10 specialist/technologist, other providers in Waller and 1 of 1176 in Texas.
NPI age
11 years
Enumerated 2014-10-20
Primary specialty
Specialist/Technologist, Other
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2014-10-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1176 active specialist/technologist, other providers in Texas.

NPI age
11 years
↑ 2 yr above median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-10Enumerated in NPPES
2014 2026

Where they practice

Practice location
33518 Haley Rd # 1
Waller, TX 774845110
📞 8883442947fax 2816224381
Mailing address
33518 Haley Rd # 1
Waller, TX 774845110
📞 8883442947fax 2816224381

Specialties

  • Specialist/Technologist, Other Primary
    Definition to come...
    taxonomy 246ZE0600X

Identifiers

TypeValueNotes
01 292 R EEG T
01 199 R EP T
01 450 CNIM

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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