Individual
CRYSTAL NICHOLE HEADS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7777 KATY FWY APT 353, HOUSTON, TX 77024-2056
(832) 896-9649
Mailing address
7777 KATY FWY APT 353, HOUSTON, TX 77024-2056
(832) 896-9649
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
API45896
TX
363LF0000X
Family Nurse Practitioner
Primary
API45896
TX
Other
Enumeration date
07/24/2020
Last updated
10/10/2020
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