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KATHRYN D. MCCRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5007
(972) 715-5682

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H0617
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
097521103
TX
05
097521104
TX
05
097521105
TX
05
100792408
TX
01
8EH591
BCBS TX
TX
01
8X1971
BCBS
TX
01
P00623781
RR MEDICARE
TX
Enumeration date
06/03/2006
Last updated
10/30/2015
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