Individual
LIBBY CRENSHAW GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
710 FM 1960 RD W, HOUSTON, TX 77090-3402
(281) 440-1000
Mailing address
14 KERLOCH PT, SPRING, TX 77379-2519
(281) 320-8376
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
M1062
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177041404
—
TX
01
—
177041405
CSHCN
TX
01
—
8U5761
BCBS
TX
Enumeration date
07/06/2006
Last updated
08/20/2008
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