KRYSTAL WILSON-STRAUSS


Address: 10600 North Loop, Ste. B2, Socorro Pediatrics and Autism Center, Socorro, TX 79927-4650
Phone: 9158868899

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10600 NORTH LOOP, STE. B2
SOCORRO PEDIATRICS AND AUTISM CENTER
City SOCORRO
State TX
Zip Code 79927-4650

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1528167350 Damian Alan Maureira Social Worker 657 Winn Rd, El Paso, TX 79927 2006-09-21
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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Competitor

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City SOCORRO
Zip Code 79927

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Dataset Information

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.

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