Individual
DR. CRYSTAL INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1345 6TH AVE, NEW YORK, NY 10105-0302
(855) 624-8963
Mailing address
809 N CENTRAL EXPY, MCKINNEY, TX 75070-3303
(972) 529-4500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
320101
NY
207Q00000X
Family Medicine Physician
Primary
U5426
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
10/16/2023
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