Individual
JIMMY N CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1500 WEST MOUNT HOUSTON RD, HOUSTON, TX 77038
(281) 445-3150
(281) 445-8975
Mailing address
1500 WEST MOUNT HOUSTON RD, HOUSTON, TX 77038
(281) 445-3150
(281) 445-8975
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11638
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0177833
UNITED CONCORDIA INS
—
01
—
B1163801
TEXAS CHIPS DENTAL PLAN
TX
Enumeration date
09/21/2006
Last updated
07/08/2007
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