Provider Demographics
NPI:1851679740
Name:CRISMYRE, CHARLOTTE (PA)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:CRISMYRE
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 SEAGATE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1558
Mailing Address - Country:US
Mailing Address - Phone:567-585-1945
Mailing Address - Fax:419-824-7359
Practice Address - Street 1:18100 HOUSTON METHODIST DR STE 150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-4600
Practice Address - Country:US
Practice Address - Phone:281-523-2380
Practice Address - Fax:281-523-2379
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant