DR. KRYSTAL SULLY MD NPI 1649531708

NPI Information

NPI: 1649531708
Provider Name: DR. KRYSTAL SULLY, MD
Classification: Psychiatry & Neurology - 2084E0001X
Specialization: Epilepsy
Entity Type: Individual
PECOS Registration: Yes
Address: 6701 FANNIN ST STE 1250
HOUSTON, TX
ZIP 77030
Phone: (832) 822-1764

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NPI Details

DR. Krystal Sully, MD is an epilepsy in Houston, TX. The provider is epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient. DR. Krystal Sully, MD NPI is 1649531708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6701 FANNIN ST STE 1250
HOUSTON, TX
ZIP 77030
Phone: (832) 822-1764

The NPI 1649531708 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2012 and was last updated on 9/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	R8116	TEXAS	No
2	390200000X	Student in an Organized Health Care Education/Training Program		183206	NORTH CAROLINA	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	2084E0001X	Psychiatry & Neurology	Epilepsy	R8116	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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