Individual
ERON D CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 HOSPITAL DR, STE 101, CORSICANA, TX 75110-2489
(903) 641-3800
(903) 641-3812
Mailing address
400 HOSPITAL DR, SUITE 111, CORSICANA, TX 75110-2489
(903) 641-4895
(903) 641-4894
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L4317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186194001
—
TX
01
—
7361787
AETNA
TX
01
—
752616977073
TRICARE CHAMPUS
TX
01
—
8CB734
BLUE CROSS
TX
Enumeration date
09/05/2006
Last updated
09/11/2020
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