Individual
CRYSTAL K DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(832) 436-4273
(832) 436-4273
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(832) 436-4273
(832) 436-4273
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
160947
CO
363AS0400X
Surgical Physician Assistant
Primary
160947
—
Other
Enumeration date
04/24/2018
Last updated
09/26/2018
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