Provider Demographics
NPI:1053153536
Name:HOSKINS, CRYSTAL (INTEGRATIVE HEALTH P)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:INTEGRATIVE HEALTH P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 HADDINGTON LN
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-8423
Mailing Address - Country:US
Mailing Address - Phone:414-331-0822
Mailing Address - Fax:
Practice Address - Street 1:1318 HADDINGTON LN
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-8423
Practice Address - Country:US
Practice Address - Phone:414-331-0822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach