Crystal Donshell Etuk

Primary specialty

Social WorkerTaxonomy code 104100000X

License

104783 Issued in TX

Practice address

5598 North Fwy Ste a-1
Houston, TX 77076-4702

Phone

(832) 353-7695

NPI assigned

Apr 30, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Crystal Donshell Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1356786768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 TRES SABORES LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774490046",
            "telephone_number": "832-353-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5598 NORTH FWY STE A-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764702",
            "telephone_number": "832-353-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETUK",
        "first_name": "CRYSTAL",
        "middle_name": "DONSHELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "104783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "DAVIS",
            "middle_name": "DONSHELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elegy Leon Etter II, MD
• Jordan Etters, DACM
• Nicole Omotunde Etti, PHARM.D
• Andrew Etuk, LCSW
• Confidence Leonard Etuk
• Kristin Etuk, PHARMD
• Linda Etuk
• Eu EMS
• Kelley Vidulich Eubank, MD
• Miranda Kay Eubank, AU.D.

• Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.