Individual
CRYSTAL PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95261500
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
1165343
TX
367500000X
Certified Registered Nurse Anesthetist
NA95002014
CA
Other
Enumeration date
12/21/2022
Last updated
02/28/2025
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