Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krystal Family Clinic LLC

Organization Family Nurse Practitioner · NPI 1811424708

Krystal Family Clinic LLC is a Family Nurse Practitioner in Mesquite, Texas. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1675 Republic Pkwy Ste 101
Mesquite, TX 75150-6902
Phone: (972) 576-7399
Fax: (972) 476-0006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1811424708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keyna Omenukor — Ceo · (972) 576-7399
NPI enumeratedMay 22, 2017
Last updated in NPPESJuly 21, 2022
Certification dateJune 14, 2022
Mailing address1675 Republic Pkwy Ste 100, Mesquite, TX 75150-6902

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