Individual
CRYSTAL D PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 S PALESTINE ST, ATHENS, TX 75751-5610
(903) 677-1000
(903) 677-5586
Mailing address
PO BOX 2127, ATHENS, TX 75751-7127
(903) 677-1000
(903) 677-5586
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
703034
TX
367500000X
Certified Registered Nurse Anesthetist
AP120049
TX
Other
Enumeration date
03/02/2011
Last updated
05/31/2023
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