Search › Texas › 101YA0400X
Crystal Kinmon, LCDC-I
NPI 1598344640 · on the registry since 2021
Practice
- Address
- 5201 Mccart Ave Ste H
Fort Worth, TX 76115 - Phone
- (817) 207-8700
- Organisation at this address
- Medmark Treatment Centers Of Texas, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-06
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 Texas