Individual provider · Type 1 NPI

Crystal K. Dougherty, LSA, PA-S

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

NPI number 1992293153 Active

Practice location

6544 Greatwood Pkwy Ste A
Sugar Land, TX 77479-6808

Call (832) 407-6033 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007XSA00740 (TX)
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 1992293153

Crystal K. Dougherty, LSA, PA-S's National Provider Identifier is 1992293153, issued on Apr 24, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sugar Land, TX. The record was last updated on Jun 6, 2026.