Organization
BENJAMIN CRAWFORD DO PSYCHIATRY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY HOUK (PRACTICE ADMINISTRATOR)
(918) 747-0568
Entity
Organization
Contact information
Practice address
4612 S HARVARD AVE STE A, TULSA, OK 74135-2908
(918) 747-5565
(918) 747-5568
Mailing address
4612 S HARVARD AVE STE A, TULSA, OK 74135-2908
(918) 747-5565
(918) 747-5568
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4750
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200436080
—
OK
Enumeration date
06/27/2012
Last updated
08/24/2012
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