Individual provider · Type 1 NPI
Crystal Park
Acute Care Nurse Practitioner · Houston, TX
NPI number
1043911936
Active
Practice location
6411 Fannin St
Houston, TX 77030-1501
Mailing address
3300 16th St NW Apt 813
Washington, DC 20010-2259
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 1103075 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1043911936
Crystal Park's National Provider Identifier is 1043911936, issued on Mar 16, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Houston, TX. The record was last updated on Mar 19, 2023.