Individual
KYLE WILLIAM CRISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(832) 865-8533
Mailing address
30184 BRIDLEGATE DR, BULVERDE, TX 78163-4130
(832) 865-8533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
742473
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1001568
TX
Other
Enumeration date
06/26/2019
Last updated
07/24/2024
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