Individual provider Active NPI

Crystal Marie Juarez, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1376309401
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17707 Issued in TX
Practice address
7719 Battlecreek Dr
Houston, TX 77040-3819
Phone
(832) 951-8778
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17707 TX Primary

Addresses

Primary practice location

7719 Battlecreek Dr
Houston, TX 77040-3819

Mailing address

7719 Battlecreek Dr
Houston, TX 77040-3819
Phone (832) 951-8778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240412003603 TX Practitioner - Physician Assistant 5698114445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

5420 W Loop S
Suite 2400
Bellaire, TX 77401-2107
Phone (713) 486-3550

5656 Kelley St
Houston, TX 77026-1967
Phone (713) 566-4635

6410 Fannin St
Houston, TX 77030-3005

950 Corbindale Rd
Suite 300
Houston, TX 77024-2849
Phone (713) 486-1700

Hospital & facility affiliations

  • Harris Health Hospital, Houston, TX, CCN 450289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Apr 29, 2024 Accepting new patients
Ut Physicians Physician Assistant CurrentSince Apr 29, 2024 Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

950 Corbindale Rd
Ste 300
Houston, TX 77024
Phone (713) 486-1700

6410 Fannin St
Ste LL135
Houston, TX 77030
Phone (832) 325-6543

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1376309401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7719 BATTLECREEK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770403819",
            "telephone_number": "832-951-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7719 BATTLECREEK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770403819",
            "telephone_number": "832-951-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.