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Individual
KRISTINA RENEE CRAWFORD
Active
Individual
KRISTINA RENEE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06952
TX
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330694601
—
TX
Enumeration date
07/06/2011
Last updated
07/21/2022
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