Individual
MS. CRYSTAL MARIE MCCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5800 GRANITE PKWY, SUITE 820, PLANO, TX 75024-6614
(469) 633-8733
Mailing address
6210 TERESA LN, ROWLETT, TX 75089-7416
(214) 929-0851
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP116767
TX
Other
Enumeration date
07/07/2008
Last updated
03/17/2016
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