Johnson, Crystal R
Johnson, Crystal R is an sole proprietor health care provider with primary practice located at 11215 Copper Shores Ln , Richmond TX 77406-1675. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Crystal R can be contacted via phone (183) 266-0125.Contact Information
Primary practice address
11215 Copper Shores Ln
Richmond TX 77406-1675
Phone: (183) 266-0125
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 696808 | Texas |
Profile Details
| NPI number | 1548560220 |
|---|---|
| LBN Legal business name | Johnson, Crystal R |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2010 |
| Last updated | Aug 16th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548560220 | NPPES |
| Texas | MEDICAID | 316443601 |
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