# PATRICK MARK CRAWFORD JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619959541
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 10506R | LA | Yes |

## Other

- **Enumeration date:** 11/16/2005
- **Last updated:** 05/19/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1490776 | — | LA |
| 01 | — | 180033484 | RAILROAD MEDICARE | LA |
| 01 | — | 5499590 | AETNA | LA |
| 01 | — | 720680677025 | CIGNA | LA |