Individual
COURTNEY NICOLE CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
655 TAYLOR ST, FORT WORTH, TX 76102-4821
(817) 289-6800
(817) 289-6825
Mailing address
655 TAYLOR ST, FORT WORTH, TX 76102-4821
(817) 289-6800
(817) 289-6825
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10599
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10599
TEXAS LICENSING BOARD
TX
Enumeration date
07/01/2022
Last updated
07/01/2022
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