Crystal EMS Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000762 Issued in TX

Legal business name

CRYSTAL EMS INC

Practice address

3950 Ashburnham Dr
30
Houston, TX 77082-5921

Phone

(832) 790-1618

Fax

(832) 365-6144

NPI assigned

Jan 10, 2012

Organization subpart

No

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

Authorized official

Name

Olugbenga A Bakare

Title

Owner

Phone

(832) 790-1618

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1891065652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 ASHBURNHAM DR",
            "address_2": "30",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825921",
            "telephone_number": "832-790-1618",
            "fax_number": "832-365-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 ASHBURNHAM DR",
            "address_2": "30",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825921",
            "telephone_number": "832-790-1618",
            "fax_number": "832-365-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "BAKARE",
        "authorized_official_first_name": "OLUGBENGA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-790-1618"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Allene Cryer, LPC
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• Crystal Anesthesia Services, PLLC
• Crystal Baby Supply
• Crystal Blue Sapphire HCS LLC
• Crystal Health Care Services, Inc
• Crystal Healthcare Inc.
• Crystal Klear Optical
• Crystal Outpatient Surgery Center
• Crystal Outpatient Surgery Center Lake Jackson

• Land Ambulance in Houston, TX
• Providers in Houston, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.