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Organization
SUSAN K CRAIG M D P A
Active
Organization
SUSAN K CRAIG M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN K CRAIG M D (OWNER)
(409) 835-2300
Entity
Organization
Contact information
Practice address
3070 COLLEGE STREET, SUITE 120, BEAUMONT, TX 77701-4688
(409) 835-2300
(409) 835-2375
Mailing address
3070 COLLEGE STREET, SUITE 120, BEAUMONT, TX 77701-4688
(409) 835-2300
(409) 835-2375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K2884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002QN
BCBS PROVIDER NUMBER
TX
05
—
213984201
—
TX
Enumeration date
05/20/2006
Last updated
12/06/2012
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