Sory, W Crysup

Sory, W Crysup is an individual health care provider with primary practice located at 12700 Park Central Dr Ste 430, Dallas TX 75251-1527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Sory, W Crysup can be contacted via phone (972) 239-8902.

Contact Information

Primary practice address
12700 Park Central Dr Ste 430 Dallas TX 75251-1527
Phone: (972) 239-8902
Fax: (972) 661-2551
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X F4552 Texas

Profile Details

NPI number 1003819426
LBN Legal business name Sory, W Crysup
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Feb 5th, 2021 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003819426 NPPES
Texas MEDICAID 138214501

Popular Providers