CRYSTAL POURCIAU


Address: 51 N Dunlap St Fl 4, Memphis, TN 38105-4625
Phone: 9012877337

CRYSTAL POURCIAU (NPI# 1225230915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225230915
Entity Type Individual
Full Name CRYSTAL POURCIAU
Credential M.D.
Practice Address 51 N Dunlap St Fl 4
Memphis
TN 38105-4625
Mailing Address 49 N Dunlap St Fl 3
Memphis
TN 38103-2802
Practice Telephone 9012877337
Practice Fax Number 9012875506
Mailing Telephone 9012874825
Mailing Fax Number 9012874820
Enumeration Date 2007-06-04
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207NP0225X Dermatology
Specialization: Pediatric Dermatology
56555 TN Allopathic & Osteopathic Physicians
N 207NP0225X Dermatology
Specialization: Pediatric Dermatology
N9400 TX Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
6701 Fannin St, Suite 670, Houston, TX 770302608 8328223720

Office Location

Street Address 51 N DUNLAP ST FL 4
City MEMPHIS
State TN
Zip Code 38105-4625

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306360680 Shannon Holtrop Genetic Counselor, MS 51 N Dunlap St Fl 4, Memphis, TN 38105-4625 2017-07-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447887435 Leeanne Chittom Mcdonald Dietitian, Registered Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 2020-03-27
1619508942 Victoria Mackay Physician Assistant 595 Danny Thomas Place, Memphis, TN 38105 2020-01-27
1720436710 Angela Marie Pratt Nurse Practitioner 262 Danny Thomas Blvd, Memphis, TN 38105 2016-05-31
1326434465 Amanda Green Pediatrics 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 2015-04-15
1467864173 Nicole Mary Alberts Psychologist 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 2014-05-29
1689004160 Virginia Carney Dietitian, Registered 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 2013-11-19
1447506365 Nickhill Hitesh Bhakta Pediatrics 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 2012-07-29
1457622235 Healthy Indigent Populations Inc. Exclusive Provider Organization 1066 Delmar, Memphis, TN 38105 2012-01-25
1285953265 Nicholas Steve Phillips Student in an Organized Health Care Education/Training Program 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 2010-05-31
1205151776 Kyle Joseph Morgan Anesthesiology 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 2010-03-28
Find all providers in zip 38105

Taxonomy Information

Taxonomy Code 207NP0225X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Pediatric Dermatology

Taxonomy Definition

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093024101 Ut Lebonheur Pediatric Specialists, Inc. Dermatology 848 Adams Ave., Memphis, TN 38103 2010-10-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114074093 Christopher Robb Dermatology 1229 Reserve Blvd, Suite 200, Spring Hill, TN 37174 2007-01-04
1003963976 Benjamin Hayes Dermatology 3098 Campbell Station Pkwy Ste A201, Spring Hill, TN 37174-4405 2007-01-04

Competitor

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City MEMPHIS
Zip Code 38105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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