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Individual

CRYSTAL YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2353 N MAIN ST, VIDOR, TX 77662-2610
(409) 813-1677
Mailing address
3406 COLLEGE ST STE 200, BEAUMONT, TX 77701-4612
(409) 813-1677

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP144435
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP144435
APRN - TEXAS
TX
Enumeration date
12/27/2019
Last updated
01/08/2024
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