| Crystal Lynn Smith, CNM | |
|
262 Stones Throw Ave, Livingston, TX 77351-7016 | |
| (936) 328-7170 | |
| Not Available |
| Full Name | Crystal Lynn Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 262 Stones Throw Ave, Livingston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558633289 | NPI | - | NPPES |
| 12586006 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 671904 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1057136 (Texas) | Primary |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Entity Name | Christie E. Obukofe M.d. Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912045030 PECOS PAC ID: 2769584820 Enrollment ID: O20070221000260 |
| Entity Name | Baylor St Lukes Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740485879 PECOS PAC ID: 9133213192 Enrollment ID: O20070920000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Lynn Smith, CNM 262 Stones Throw Ave, Livingston, TX 77351-7016 Ph: (936) 328-7170 | Crystal Lynn Smith, CNM 262 Stones Throw Ave, Livingston, TX 77351-7016 Ph: (936) 328-7170 |
Renella Boullion, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Ogletree Dr, Livingston, TX 77351 Phone: 936-328-8812 | |
Colton Placker, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 296 Jr Phillips Rd, Livingston, TX 77351 Phone: 936-433-1053 | |
Deneesha Jones, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Ogletree Dr, Livingston, TX 77351 Phone: 281-592-6000 | |
Ms. Rebbecca Oliver, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1900 N Washington Ave, Livingston, TX 77351 Phone: 936-327-1015 Fax: 888-815-1346 | |
Mrs. Vivian Ray Sullivan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 Rainbow Dr # 15504, Livingston, TX 77399 Phone: 818-512-1380 | |
Aaron Padron, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 204 Rainbow Dr # 10486, Livingston, TX 77399 Phone: 908-208-8600 | |
Reyna Orizaba, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1717 Us 59 Loop North, Livingston, TX 77351 Phone: 936-329-8700 |