Individual
BRENDA M CRUCIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18951 N MEMORIAL DR # 103W, HUMBLE, TX 77338-4217
(281) 540-8409
(281) 540-7109
Mailing address
830 KEMPSVILLE RD FL 1, NORFOLK, VA 23502-3920
(757) 261-8070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101275450
VA
208M00000X
Hospitalist Physician
0101275450
VA
208M00000X
Hospitalist Physician
Primary
V0715
TX
Other
Enumeration date
03/21/2019
Last updated
10/18/2024
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