Individual
ALLEN R CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 ST JOSEPH PKWY, SUITE 800, HOUSTON, TX 77002-8233
(713) 650-6900
(713) 650-4900
Mailing address
PO BOX 201576, DALLAS, TX 75320-1576
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D9407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134308903
—
TX
Enumeration date
12/22/2005
Last updated
08/24/2011
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