Crystal Poungsangchaun is one of 1,633 nurse practitioners practicing in San Antonio, Texas .
Crystal Poungsangchaun practices with Legacy Physiatry Group LLC, Metro Infectious Disease Consultants LLC, and NLUC PLLC.
Registry record (NPPES)
NPI
1043859424
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
7407 Broadway
Enumerated
Jan 2, 2020
Record last updated
May 25, 2026
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
19016 Stone Oak Pkwy Suite 140San Antonio , TX 78258
7407 BroadwaySan Antonio , TX 78209
850 Central E Pkwy Suite 275Plano , TX 75074
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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