Castro, Crystal Marie

Castro, Crystal Marie is an individual health care provider with primary practice located at 3840 Hulen St , Fort Worth TX 76107-7277. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Castro, Crystal Marie can be contacted via phone (817) 335-3022.

Contact Information

Primary practice address
3840 Hulen St Fort Worth TX 76107-7277
Phone: (817) 335-3022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 728186 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP121108 Texas

Profile Details

NPI number 1285910851
LBN Legal business name Castro, Crystal Marie
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2011
Last updated Dec 19th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285910851 NPPES
Texas MEDICAID 288526101
Texas Other 864N81
Texas Other P01105617

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