Individual
KOLEAN CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1308 PALUXY RD STE 303, GRANBURY, TX 76048-5609
(817) 579-3948
Mailing address
1628 COUNTY ROAD 2003, GLEN ROSE, TX 76043-5905
(254) 396-5122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1055114
TX
Other
Enumeration date
09/23/2021
Last updated
05/03/2022
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