Individual
CRYSTAL DRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1344 COUNTY ROAD 1090, CENTER, TX 75935-6502
(936) 332-2004
Mailing address
1344 COUNTY ROAD 1090, CENTER, TX 75935-6502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
859399
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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