NPI Profile for CRYSTAL N HEADS in HOUSTON, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Geriatric Medicine |
207QG0300X | 08 | Physician/Family Practice |
| NPI # | 1912516030 |
|
| Status | Active | |
| Credentials | FNP (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 07/24/2020 | |
| Last updated | 10/10/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CRYSTAL N HEADS
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