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Individual

KRYSTAL I RICHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
710 CYPRESS CREEK PKWY, HOUSTON, TX 77090-3402
(281) 440-1000
Mailing address
710 CYPRESS CREEK PKWY, HOUSTON, TX 77090-3402
(281) 440-1000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1098269
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
1098269
TX
390200000X
Student in an Organized Health Care Education/Training Program
TX

Other

Enumeration date
08/08/2022
Last updated
10/14/2024
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