Organization
PHILIP H CROYLE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP H CROYLE MD (PHYSICIAN)
(254) 751-1700
Entity
Organization
Contact information
Practice address
300 RICHLAND WEST CIR, SUITE 2, WACO, TX 76712-7935
(254) 751-1700
(254) 751-0700
Mailing address
PO BOX 23690, SUITE D, WACO, TX 76702-3690
(254) 751-1700
(254) 751-0700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E1838
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033QS
BCBS GROUP
TX
01
—
159630601
TPI
TX
05
—
159630601
—
TX
01
—
8AJ848
BCBS
TX
01
—
B22052
UPIN
TX
01
—
E1838
TX LIC.
TX
Enumeration date
10/22/2007
Last updated
03/12/2009
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