Crystal Lee Fultz, is a
Drama Therapist based in Corpus Christi, Texas. Crystal Lee Fultz is licensed to practice in * (Not Available) (license number ) and current practice location is
546 Dixon Dr, Corpus Christi, Texas. can be reached at office (for appointments etc.) via phone at
(361) 945-3846.
NPI number for Crystal Lee Fultz is 1770305203 and current mailing address is 4802 Cheryl Dr, Corpus Christi, Texas.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1770305203.
Healthcare Provider's Profile
Full Name | Crystal Lee Fultz |
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Gender | |
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Speciality | Drama Therapist |
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Location | 546 Dixon Dr, Corpus Christi, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770305203
- Provider Enumeration Date: 10/28/2024
- Last Update Date: 10/28/2024
Medical Identifiers
Medical identifiers for Crystal Lee Fultz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770305203 | NPI | - | NPPES |
1780079319 | Other | | 101Y00000X |
103TE1000X | Other | | BEHAVIORAL/SOCIAL PSYCHOLOGY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
176P00000X | Funeral Director | 1780079319 (Texas) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 261QP0905X (Texas) | Secondary |
101200000X | Drama Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Lee Fultz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Crystal Lee Fultz, 4802 Cheryl Dr, Corpus Christi, TX 78415-1520 Ph: () - | Crystal Lee Fultz, 546 Dixon Dr, Corpus Christi, TX 78408-2916 Ph: (361) 945-3846 |
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