Mystic Crenshaw
NPI 1366740680 · on the registry since 2011
Practice
- Address
- 3100 S Elm Pl Ste B
Broken Arrow, OK 74012 - Phone
- (918) 286-2535
- Fax
- (918) 286-7693
- Organisation at this address
- Amattco Llc
Health Network
The Griffin Promise
Health Network, Llc
David Mcallister,D.M.D.,Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Sex
- Female
- Record last updated
- 2011-03-10
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma