Individual
MICHAEL COREY CRICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1205 CENTRAL TEXAS EXPY, LAMPASAS, TX 76550-3388
(512) 556-5362
(512) 556-8004
Mailing address
PO BOX 1219, BURNET, TX 78611-7219
(512) 556-5362
(512) 556-8004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
594188
TX
Other
Enumeration date
04/08/2008
Last updated
07/15/2016
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