Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristin Marie Massimo, PA-C

Individual provider Physician Assistant · NPI 1104248772

Kristin Marie Massimo, PA-C is a Physician Assistant in Houston, Texas. Works from 2 locations. Licensed in New Jersey, Pennsylvania and Texas.

Licensed in
NJ, PA, TX
In the registry since
2014
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13111 E Fwy
Houston, TX 77015-5803
Phone: (203) 217-2263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1201 Langhorne Newtown Rd Ste 1, Langhorne, PA 19047-1295 — (215) 710-2100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence AO004787 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00437800 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence PA08773 (TX)

Record details

NPI number1104248772
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 15, 2014
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

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