Crystal, Chad

Crystal, Chad is an individual health care provider with primary practice located at 2900 S Loop 256 , Palestine TX 75801-6958. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Crystal, Chad can be contacted via phone (903) 731-1144.

Contact Information

Primary practice address
2900 S Loop 256 Palestine TX 75801-6958
Phone: (903) 731-1144
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X L7699 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD27259 Oregon

Profile Details

NPI number 1649234618
LBN Legal business name Crystal, Chad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Mar 12th, 2008 - about 16 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 1649234618 NPPES
Texas MEDICAID 164715803
Texas MEDICAID 164715805

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