Individual
DR. CRYSTAL CARRIO-KYZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
PO BOX 391, POTH, TX 78147-0391
(601) 665-2505
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
53 919
MS
Other
Enumeration date
03/01/2016
Last updated
04/12/2017
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