Provider Demographics
NPI:1841620580
Name:SADLER, CRYSTAL DAWN (LSA)
Entity type:Individual
Prefix:MRS
First Name:CRYSTAL
Middle Name:DAWN
Last Name:SADLER
Suffix:
Gender:F
Credentials:LSA
Other - Prefix:
Other - First Name:CRYSTAL
Other - Middle Name:DAWN
Other - Last Name:MCCARTY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LSA
Mailing Address - Street 1:12222 N CENTRAL EXPY STE 300
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3763
Mailing Address - Country:US
Mailing Address - Phone:469-547-6170
Mailing Address - Fax:469-547-6180
Practice Address - Street 1:12222 N CENTRAL EXPY STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3763
Practice Address - Country:US
Practice Address - Phone:469-547-6170
Practice Address - Fax:469-547-6180
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-15
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00531246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant