Organization
SCOTT AND WHITE HEALTH PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANIE CROSHAW (RESIDENT)
(281) 414-7712
Entity
Organization
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
3010 IRA YOUNG DR, #516, TEMPLE, TX 76504-6300
(281) 414-7712
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
BP10042530
TX
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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