Provider Demographics
NPI:1346712882
Name:CRYSTAL VUE MEDICAL BILLING SOLUTIONS LLC
Entity Type:Organization
Organization Name:CRYSTAL VUE MEDICAL BILLING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP BILLING AND CODING
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLIAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-632-6877
Mailing Address - Street 1:4099 MCEWEN RD STE 550
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75244-5353
Mailing Address - Country:US
Mailing Address - Phone:214-272-9066
Mailing Address - Fax:888-206-1272
Practice Address - Street 1:4099 MCEWEN RD STE 550
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75244
Practice Address - Country:US
Practice Address - Phone:214-272-9066
Practice Address - Fax:888-206-1272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-21
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty