Individual
DR. BRANDON E. CRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
417 S SAUNDERS AVE, TYLER, TX 75702-8344
(903) 596-9173
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1983
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006039
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339742401
—
TX
01
—
75-2616977-009
TRICARE
TX
01
—
8EK881
BCBS
TX
Enumeration date
07/08/2008
Last updated
01/26/2015
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