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NPI Code Detail

MEDICARE: CRYSTAL MACIAS

MEDICARE: CRYSTAL MACIAS
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
1103K00000XBehavior Analyst3446TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RBT-18-47762OTHERTXRBT

General Provider Information

NPI Number : 1639689508
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL MACIAS
Provider Business Mailing Address
First Line : 221 N KANSAS ST STE 700
Second Line :
City : EL PASO
State : TX
Zip : 79901-1444
Country : US
Telephone Number : 855-832-6727
Fax Number :
Provider Business Practice Location Address
First Line : 221 N KANSAS ST STE 700
Second Line :
City : EL PASO
State : TX
Zip : 79901-1443
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2017
Last Update Date : 01/16/2026

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Directions to “ CRYSTAL MACIAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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