Individual
DR. ANDREA L. ALLRED-CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8401 DATAPOINT DR, SUITE 600, SAN ANTONIO, TX 78229-5900
(210) 616-7700
(210) 616-7799
Mailing address
8401 DATAPOINT DR, SUITE 600, SAN ANTONIO, TX 78229-5900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G7973
TX
2085U0001X
Diagnostic Ultrasound Physician
G7973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11860009-04
MEDICAID - STRIC
TX
05
—
1186000901
—
TX
01
—
1186000902
CSHCN
TX
Enumeration date
02/28/2006
Last updated
03/04/2009
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