Krysta L Eugenis in Lubbock - Physician Assistant

Krysta L Eugenis - NPI 1720129927

Krysta L Eugenis is a Physician Assistant in Lubbock, Texas. Krysta L Eugenis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Krysta L Eugenis is 1720129927. The last update date is 2022-04-21.

Krysta L Eugenis's current location address is 4515 Marsha Sharp Fwy, Lubbock, Texas. You can contact this provider via phone number 8067447223 and fax number 8067403325. The mailing address for Krysta L Eugenis is 4515 Marsha Sharp Fwy, Lubbock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Krysta L Eugenis
Address 4515 Marsha Sharp Fwy, Lubbock, Texas
Phone Number 8067447223
Fax Number 8067403325
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1720129927
Provider Enumeration Date 2007-02-09
Last Updated Date 2022-04-21

Provider Mailing Address Detail

Address 4515 Marsha Sharp Fwy
City Lubbock
State Texas (TX)
Post Code 794072520
Phone Number 8067447223
Fax Number 8067403325

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA04991
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA04991 TX PHYSICIAN ASSISTANT PERMI

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FAQs about Krysta L Eugenis

What is the unique 10-digit identification code assigned to Krysta L Eugenis by the Centers for Medicare & Medicaid Services?

The Krysta L Eugenis has been issued the NPI (National Provider Identifier) 1720129927, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Krysta L Eugenis is physically located?

The Krysta L Eugenis is situated at the following address: 4515 Marsha Sharp Fwy, Lubbock, TX 794072520.

What is Krysta L Eugenis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Krysta L Eugenis is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720129927 to Krysta L Eugenis?

The Centers for Medicare & Medicaid Services originally issued the 1720129927 to Krysta L Eugenis on 2007-02-09.

When was the information regarding Krysta L Eugenis most recently updated?

The details pertaining to the Krysta L Eugenis, including its address, specialty, and other relevant information, were last refreshed on 2022-04-21.

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