Individual
KATHLEEN CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 S MAIN ST FL 4, FORT WORTH, TX 76104-4804
(817) 702-6500
(817) 702-6561
Mailing address
200 W MAGNOLIA AVE STE 201, FORT WORTH, TX 76104-7657
(817) 702-2977
(817) 702-2140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G4942
TX
207RH0003X
Hematology & Oncology Physician
Primary
G4942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128094306
—
TX
05
—
128094307
—
TX
01
—
8B5599
BCBS
TX
01
—
P00312848
RAILROAD MEDICARE PIN
TX
Enumeration date
07/31/2006
Last updated
09/07/2022
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