Kelly Crystal, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA08288 Issued in TX

Practice address

8312 Long Point Rd
Houston, TX 77055-2050

Phone

(713) 409-4343

NPI assigned

Jun 28, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Source for Women of Houston Inc Care Net Pregnancy Center of Houston

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1538421201
  NPD
• Judah Christian Counseling & Recovery PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pearland, TX
  • NPI 1447736061
  NPD (past)

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1669812186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12130 BEAUREGARD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244201",
            "telephone_number": "713-409-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8312 LONG POINT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770552050",
            "telephone_number": "713-409-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRYSTAL",
        "first_name": "KELLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Klear Optical
• Crystal Outpatient Surgery Center
• Crystal Outpatient Surgery Center Lake Jackson
• Crystal Pine 9889 LLC
• Crystal Swamp Collabs, PLLC
• CS Life Coaching
• CS Therapy LLC
• CSB Medical PLLC
• CSB Post Acute PLLC
• Csi Solutions TX , LLC

• Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.