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Individual

TINA HUDSPETH CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
376 DIERLAM RD, SEADRIFT, TX 77983-3516
(361) 484-8145
Mailing address
376 DIERLAM RD UNIT 3, SEADRIFT, TX 77983-3516
(361) 484-8145

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
09/16/2016
Last updated
10/17/2022
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