Individual
MS. CRYSTAL ELIZABETH FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1613 N ZARAGOZA RD, EL PASO, TX 79936-5815
(915) 201-0338
(855) 828-0878
Mailing address
5929 BALCONES DR STE 200, AUSTIN, TX 78731-4280
(512) 550-1800
(855) 828-0878
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP130575
TX
Other
Enumeration date
03/22/2016
Last updated
10/18/2022
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