| Doctor Name: | KRYSTAL WILSON-STRAUSS |
| NPI Number: | 1265805733 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 10600 North Loop, Ste. B2 Socorro Pediatrics And Autism Center Socorro, TX - 799274650 |
| Business Phone Number: | 9158868899 |
| Business Fax Number: | 9152480996 |
| Mailing Address: | 5561 Gustavo Madrid Ln, EL PASO |
| State: | TX |
| Postal Code: | 799343177 |
| Phone Number: | 9154781719 |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2015 |
| NPI Last Update Date: | 11/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |