Individual
CRYSTAL OLAIDE SALAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16100 SOUTH FWY, PEARLAND, TX 77584-1895
(281) 929-6184
Mailing address
300 S WASHINGTON AVE, GREENVILLE, MS 38701-4719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
T-4852
MS
207Q00000X
Family Medicine Physician
V9969
TX
208M00000X
Hospitalist Physician
Primary
V9969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-4852
TEMPORARY RESTRICTED LICENSE
MS
Enumeration date
07/13/2022
Last updated
07/17/2025
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