Individual provider · Type 1 NPI

Krystal Mbamalu

Student in an Organized Health Care Education/Training Program · Arlington, TX

NPI number 1205730264 Active

Practice location

411 S Nedderman Drive, Pickard Hall Box 19407
Arlington, TX 76019-0407

Call (817) 272-2776 Map

Fax (817) 272-5006

Mailing address

4030 Champlain Way
Rosharon, TX 77583-3961

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205730264

Krystal Mbamalu's National Provider Identifier is 1205730264, issued on Oct 5, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Arlington, TX. The record was last updated on Oct 5, 2026.