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Individual

DR. SCOTT HARRISON CROCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1680 ANTILLEY RD, STE. 260, ABILENE, TX 79606-5267
(325) 691-5590
(325) 691-1231
Mailing address
1680 ANTILLEY RD, STE. 260, ABILENE, TX 79606-5267
(325) 691-5590
(325) 691-1231

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
H1569
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1157661-04
TX
Enumeration date
08/17/2005
Last updated
10/01/2014
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