Individual
CRYSTAL ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
21304 PROVINCIAL BLVD, KATY, TX 77450-7580
(832) 293-0660
(800) 803-7888
Mailing address
2402 HORNED OWL DR, KATY, TX 77494-1928
(832) 293-0660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16459
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354252401
—
TX
Enumeration date
10/25/2006
Last updated
03/03/2017
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