Organization Active NPI

Crystal Health Services

  • Physical Medicine & Rehabilitation Physician
  • Missouri City, TX
National Provider Identifier
1952024754
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CRYSTAL HEALTH SERVICES
Practice address
2755 Texas Pkwy Ste 102
Missouri City, TX 77489-5114
Phone
(713) 588-4881
Fax
(281) 206-4664
NPI assigned
Sep 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Kikelomo Olawunmi Adetoyinbo
Title
Administrator
Phone
(713) 588-4881

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

2755 Texas Pkwy Ste 102
Missouri City, TX 77489-5114

Mailing address

215 Fairwood Springs LN
Richmond, TX 77406-3587
Phone (713) 588-4881

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1952024754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 FAIRWOOD SPRINGS LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774063587",
            "telephone_number": "713-588-4881",
            "fax_number": "281-206-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 TEXAS PKWY STE 102",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774895114",
            "telephone_number": "713-588-4881",
            "fax_number": "281-206-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "ADETOYINBO",
        "authorized_official_first_name": "KIKELOMO",
        "authorized_official_middle_name": "OLAWUNMI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-588-4881"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.