Organization
ETX INJECT COSMETICS & WELLNESS CRANDALL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL L GILMORE (NURSE PRACTITIONER)
(903) 288-3485
Entity
Organization
Contact information
Practice address
1829 W MAIN ST, GUN BARREL CITY, TX 75156-4401
(903) 288-3485
Mailing address
121 S MAIN ST, CRANDALL, TX 75114-2901
(903) 802-5167
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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