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Individual

PEGE R CRANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
901 7TH AVE, STE 220, FORT WORTH, TX 76104-2722
(682) 885-4007
(682) 885-3914
Mailing address
801 7TH AVE, REVENUE MANAGEMENT, FORT WORTH, TX 76104-2733
(682) 885-4157
(682) 885-1903

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
748406
TX

Other

Enumeration date
01/07/2008
Last updated
01/07/2008
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