Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kristin Meyertholen Favela, MD

Individual provider Pediatrics Physician · NPI 1679833057

Dr. Kristin Meyertholen Favela, MD is a Pediatric Medicine in Fort Worth, Texas. Graduated from University of Texas Medical Branch at Galveston in 2012, 14 years ago. Practices with Cook Childrens Physician Network, a 301-clinician group and accepts Medicare assignment. Licensed in Ohio and Texas.

Years since qualifying
14
Trained at
University of Texas Medical Branch at Galveston
Licensed in
OH, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 Cooper St
Fort Worth, TX 76104-2710
Phone: (682) 885-7960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X · Licence S2770 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence 35.126849 (OH)

Record details

NPI number1679833057
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2012
Last updated in NPPESApril 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesENDOCRINOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2012 (14 years in practice)
Group practice Cook Childrens Physician Network — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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