Krystal Family Clinic Llc

LBN: Krystal Family Clinic Llc
Krystal Family Clinic Llc is an health care organization with primary practice located at 1675 Republic Pkwy Ste 101 , Mesquite TX 75150-6902. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Krystal Family Clinic Llc can be contacted via phone (972) 576-7399, or through Omenukor, Keyna via phone (972) 576-7399.

Contact Information

Primary practice address
1675 Republic Pkwy Ste 101 Mesquite TX 75150-6902
Phone: (972) 576-7399
Fax: (972) 476-0006
Website:
Map and Directions
Authorized official contact:
Name: Omenukor, Keyna Nurse Practitioner (NP)
Phone: (972) 576-7399

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1811424708
LBN Legal business name Krystal Family Clinic Llc
DBA Doing business as
Authorized official Omenukor, Keyna Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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