Individual
CRYSTAL IMASOGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
16605 SOUTHWEST FWY STE 175, SUGAR LAND, TX 77479-0003
(281) 302-5673
Mailing address
7723 POUTER DR, HOUSTON, TX 77083-5131
(281) 777-8736
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP134361
TX
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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