Chad Crystal, MD | |
2900 S Loop 256, Palestine, TX 75801-6958 | |
(903) 731-1144 | |
Not Available |
Full Name | Chad Crystal |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2900 S Loop 256, Palestine, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649234618 | NPI | - | NPPES |
164715803 | Medicaid | TX | |
164715805 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | L7699 (Texas) | Secondary |
207P00000X | Emergency Medicine | MD27259 (Oregon) | Primary |
Entity Name | King County Public Hospital District No 2 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557 |
Entity Name | Evergreen Emergency Services Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619912524 PECOS PAC ID: 4981694155 Enrollment ID: O20040518000743 |
Mailing Address | Practice Location Address |
---|---|
Chad Crystal, MD 2520 Nw Birkendene St, Portland, OR 97229-8573 Ph: (503) 841-5765 | Chad Crystal, MD 2900 S Loop 256, Palestine, TX 75801-6958 Ph: (903) 731-1144 |
Heidi Christine Knowles, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1144 | |
George Eric Schroeder, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1144 | |
Dr. Sunao Lynette Gilbert, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-773-1153 | |
Nejla Shami, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1144 | |
Benjamin Constante, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1144 | |
Christopher William Garrett, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1144 |