Individual
CHRISTINA K CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2727 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6613
(682) 885-6000
(682) 885-6026
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
712501
TX
364SP0200X
Pediatric Clinical Nurse Specialist
712501
TX
Other
Enumeration date
10/26/2009
Last updated
04/09/2021
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