Individual
JOHN L CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 PENNSYLVANIA AVE, SUTE 720, FORT WORTH, TX 76104-2144
(817) 332-2998
(817) 336-8941
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 336-8941
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G6156
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020054432
RAILROAD MEDICARE
TX
05
—
098662203
—
TX
Enumeration date
08/14/2006
Last updated
09/30/2011
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