Etx Inject Cosmetics & Wellness Crandall PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ETX INJECT COSMETICS & WELLNESS CRANDALL PLLC

Practice address

1829 W Main St
Gun Barrel City, TX 75156-4401

Phone

(903) 288-3485

NPI assigned

Jul 17, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Krystal L GilmoreNPI 1992363428

Title

Nurse Practitioner

Phone

(903) 288-3485

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krystal Lynn Gilmore

  • Family Medicine Physician
  • Crandall, TX
  • NPI 1992363428
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1023900768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S MAIN ST",
            "city": "CRANDALL",
            "state": "TX",
            "postal_code": "751142901",
            "telephone_number": "903-802-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 W MAIN ST",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751564401",
            "telephone_number": "903-288-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETX INJECT COSMETICS & WELLNESS CRANDALL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "903-288-3485"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent C Egwuonwu, PHARMACIST
• Joseph Gregory Ellis, R.PH.
• Enriched Life Medical (Jon M Rich)
• Enriched Life Medical, PLLC
• Etmc Physician Group Inc.
• Eye for Beauty Med Spa & GBC Family Medicine, PLLC
• Jolene Adelle Finley, LM, CPM
• First Step to Recovery LLC
• Marian H, Flowers, CCC SLP
• Diane Marilee Gard, PHD

• Primary Care Clinic/Center in Gun Barrel City, TX
• Providers in Gun Barrel City, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.