Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
MAA CRYSTAL DENTAL
Active
Organization
MAA CRYSTAL DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VE N K A T A R A J E S H K U M A R P A S U P ULE TI (OWNER)
(661) 618-4215
Entity
Organization
Contact information
Practice address
402 E ZAVALA ST STE 1, CRYSTAL CITY, TX 78839-3337
(661) 618-4215
Mailing address
402 E ZAVALA ST STE 1, CRYSTAL CITY, TX 78839-3337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up