MEDICARE: CRYSTAL E EPPERSON CARE NAVIGATOR

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1801619234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL E EPPERSON CARE NAVIGATOR

Provider Business Mailing Address
First Line	:	1453 WATERTON DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75023-7315
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3021 GATEWAY DR STE 295
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-2639
Country	:	US
Telephone Number	:	866-271-3589
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2024
Last Update Date	:	11/04/2024

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Directions to “ CRYSTAL E EPPERSON CARE NAVIGATOR” Practice Location

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