Individual
ANTHONY CRISCITIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
546 N KEGLEY RD, TEMPLE, TX 76502-4069
(254) 215-0900
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
V2716
TX
Other
Enumeration date
03/20/2022
Last updated
11/13/2024
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