Individual
DR. ELLEN PEARMAN CROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
13343 N HIGHWAY 183, STE 260, AUSTIN, TX 78750-7158
(512) 258-2120
Mailing address
13343 N US HIGHWAY 183, STE 260, AUSTIN, TX 78750-7160
(512) 569-8886
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6206 TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6206-TG
6206 TG
TX
01
—
81246Q
BCBS NUMBER
TX
Enumeration date
08/16/2006
Last updated
03/07/2023
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