Boulware, Crystal Dennett

Boulware, Crystal Dennett is an individual health care provider with primary practice located at 207 Broad St , Wichita Falls TX 76301-2219. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Boulware, Crystal Dennett can be contacted via phone (972) 800-6986.

Contact Information

Primary practice address
207 Broad St Wichita Falls TX 76301-2219
Phone: (972) 800-6986
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11018 Texas

Profile Details

NPI number 1083314850
LBN Legal business name Boulware, Crystal Dennett
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2023
Last updated Mar 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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