Individual
CRYSTAL JEAN HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-3230
Mailing address
1235 SARAH DR, BELTON, TX 76513-4692
(917) 841-1469
Taxonomy
Speciality
Code
Description
License number
State
163WU0100X
Urology Registered Nurse
Primary
1061666
TX
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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