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Individual

SHAWANA M CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN-NP

Contact information

Practice address
3410 WORTH ST, SUITE 860, DALLAS, TX 75246-2003
(214) 820-8500
(214) 820-3558
Mailing address
3410 WORTH ST, SUITE 860, DALLAS, TX 75246-2003
(214) 820-8500
(214) 820-3558

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
747630
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP116771
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197982501
TX
05
197982502
TX
05
197982503
TX
Enumeration date
10/01/2008
Last updated
07/01/2015
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