Individual
KRYSTLE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
(713) 779-9813
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
(713) 779-9813
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
14-119
—
363AS0400X
Surgical Physician Assistant
Primary
14-119
—
Other
Enumeration date
05/20/2014
Last updated
06/17/2019
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