Individual
DR. BENJAMIN MERRICK CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0937
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0937
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
L4896
TX
Other
Enumeration date
02/22/2006
Last updated
10/30/2015
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