Individual
KEVIN ANDREW CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1021 HOLDEN ST, GLEN ROSE, TX 76043-4937
(254) 897-2215
Mailing address
401 LINCOLN OAKS DR, BURLESON, TX 76028-4054
(817) 313-2246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
617339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002629601
—
TX
05
—
002629602
—
TX
01
—
00C60Q
BCBSTX
TX
01
—
81227U
BCBSTX
TX
Enumeration date
12/03/2005
Last updated
03/04/2015
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