KRYSTAL WILSON-STRAUSS (NPI# 1265805733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265805733 |
Entity Type | Individual |
Full Name | KRYSTAL WILSON-STRAUSS |
Credential | PA-C |
Practice Address |
10600 North Loop, Ste. B2 Socorro Pediatrics and Autism Center Socorro TX 79927-4650 |
Mailing Address |
5561 Gustavo Madrid Ln El Paso TX 79934-3177 |
Practice Telephone | 9158868899 |
Practice Fax Number | 9152480996 |
Mailing Telephone | 9154781719 |
Enumeration Date | 2015-11-05 |
Last Update Date | 2015-11-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10600 NORTH LOOP, STE. B2 SOCORRO PEDIATRICS AND AUTISM CENTER |
City | SOCORRO |
State | TX |
Zip Code | 79927-4650 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114541372 | Fv Denta Pllc | Dentist | 10670 N. Loop Dr., Socorro, TX 79927 | 2020-06-03 |
1861949315 | Grissel Davila | Dental Assistant | 11761 Flor Del Rio, El Paso, TX 79927 | 2016-09-01 |
1285944843 | Adolfo Square Inc. | PACE Provider Organization | 10750 North Loop, Suite A-2/a-3, Socorro, TX 79927 | 2010-10-18 |
1528167350 | Damian Alan Maureira | Social Worker | 657 Winn Rd, El Paso, TX 79927 | 2006-09-21 |
1528548534 | Stephanie Marie Banuelos | Occupational Therapy Assistant | 10064 Alameda Ave, Socorro, TX 79927 | 2018-08-19 |
1417309048 | Kara Greco | Speech-Language Pathologist | 10064 Alameda Ave, Socorro, TX 79927 | 2016-07-07 |
1437516713 | Ericka Paige Hartford | Occupational Therapy Assistant | 10064 Alameda Ave, Socorro, TX 79927 | 2016-01-18 |
1164888319 | Capelli Group LLC | Specialist | 9739 Socorro Rd, Socorro, TX 79927 | 2016-01-04 |
1942673074 | Eddie Hernandez | Technician | 10780 Ganado Dr, Socorro, TX 79927-1207 | 2015-11-11 |
1417409699 | Atentos En Su Hogar LLC | Home Health | 10780 Ganado Dr, Socorro, TX 79927-1207 | 2016-11-03 |
Find all providers in zip 79927 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.