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Individual

CRYSTAL SUE BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
625 W CENTRAL TEXAS EXPY, HARKER HEIGHTS, TX 76548-1600
(254) 690-0618
(254) 690-0462
Mailing address
5940 CROSSLAKE PKWY, WACO, TX 76712-6986
(254) 666-2999
(254) 666-6000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP138623
TX

Other

Enumeration date
10/15/2018
Last updated
10/15/2018
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