Individual
DR. KRYSTAL SULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
R8116
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
R8116
TX
390200000X
Student in an Organized Health Care Education/Training Program
183206
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2012
Last updated
09/16/2024
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