Individual
DR. JOSEPH DEAN MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 BROOKLYN AVE, SUITE #115, SAN ANTONIO, TX 78212-4803
(210) 224-6531
(210) 226-0402
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G3959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123194602
—
TX
05
—
123194606
—
TX
01
—
2121567
AETNA HMO
TX
01
—
4216632
AETNA PPO
TX
01
—
830005580
RAILROAD MEDICARE
TX
01
—
83794J
BLUECROSS/BLUESHIELD TX.
TN
01
—
P01547659
RAILROAD MEDICARE
TX
Enumeration date
07/29/2006
Last updated
12/30/2024
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