Individual
DR. RUSSELL S CRAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 WATER ST, STE. E100, KERRVILLE, TX 78028-3523
(830) 257-4417
(830) 257-1480
Mailing address
PO BOX 294869, KERRVILLE, TX 78029-4869
(830) 257-4417
(830) 257-1480
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J6394
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122036005
—
TX
01
—
8A7630
BCBS
TX
01
—
P00158163
MEDICARE RR
TX
Enumeration date
12/21/2006
Last updated
03/18/2011
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