Provider Demographics
NPI:1326406695
Name:FEWOX, CRYSTAL DAWN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CRYSTAL
Middle Name:DAWN
Last Name:FEWOX
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:CRYSTAL
Other - Middle Name:
Other - Last Name:JOHNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:13230 FM 1764 RD STE C
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:TX
Mailing Address - Zip Code:77510-9673
Mailing Address - Country:US
Mailing Address - Phone:409-316-9085
Mailing Address - Fax:409-316-9014
Practice Address - Street 1:13230 FM 1764 RD STE C
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:TX
Practice Address - Zip Code:77510-9673
Practice Address - Country:US
Practice Address - Phone:409-316-9085
Practice Address - Fax:409-316-9014
Is Sole Proprietor?:No
Enumeration Date:2016-02-02
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130167363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily