Organization
JUDITH E. CRAIG, PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH E. CRAIG PH.D. (PRESIDENT)
(210) 824-3391
Entity
Organization
Contact information
Practice address
147 W SUNSET RD, SUITE 101, SAN ANTONIO, TX 78209-2632
(210) 824-3391
(210) 828-2873
Mailing address
147 W SUNSET RD, STE. 101, SAN ANTONIO, TX 78209-2632
(210) 824-3391
(210) 828-2873
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20806
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00913V
MEDICARE PROVIDER NUMBER
TX
01
—
1023119823
NPI INDIVIDUAL
TX
Enumeration date
05/05/2008
Last updated
07/06/2010
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