Provider Demographics
NPI:1255810305
Name:CRYER, DEBRA KAY (LVN)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:KAY
Last Name:CRYER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:KAY
Other - Last Name:FILBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 632
Mailing Address - Street 2:
Mailing Address - City:CADDO MILLS
Mailing Address - State:TX
Mailing Address - Zip Code:75135-0632
Mailing Address - Country:US
Mailing Address - Phone:214-557-0399
Mailing Address - Fax:
Practice Address - Street 1:1255 W 15TH ST STE 1025
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7253
Practice Address - Country:US
Practice Address - Phone:972-673-0404
Practice Address - Fax:469-331-6294
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208009164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse