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NPI Code Detail

MEDICARE: CHRISSY ANN SUMPTER PA-C

MEDICARE:   CHRISSY ANN SUMPTER  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1083028237
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISSY ANN SUMPTER PA-C
Provider Business Mailing Address
First Line : 4629 BENHAM DR
Second Line :
City : CROWLEY
State : TX
Zip : 76036-4217
Country : US
Telephone Number : 682-438-2000
Fax Number : 626-313-4851
Provider Business Practice Location Address
First Line : 2550 RIVER PARK PLZ
Second Line : SUITE 110
City : FORT WORTH
State : TX
Zip : 76116-0920
Country : US
Telephone Number : 817-731-1289
Fax Number : 817-731-1291
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2014
Last Update Date : 10/31/2025

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Directions to “ CHRISSY ANN SUMPTER PA-C” Practice Location

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