Individual
MR. GARY STEPHEN CROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
900 S BRYAN RD, MISSION, TX 78572-6613
(956) 323-1808
(956) 323-1817
Mailing address
900 S BRYAN RD, MISSION, TX 78572-6613
(956) 323-1808
(956) 323-1817
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
578939
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040650
COUNCIL RECERTIFICATION #
TX
Enumeration date
07/26/2006
Last updated
07/09/2007
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