Individual
DANIEL K CROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1106 PORT ARTHUR TER, LEESVILLE, LA 71446-4643
(337) 404-4075
(337) 446-2548
Mailing address
1106 PORT ARTHUR TER, LEESVILLE, LA 71446-4643
(337) 404-4075
(337) 446-2548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.A10331
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.A10331
LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
LA
Enumeration date
07/06/2022
Last updated
11/17/2022
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