Individual
PETER B CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 BARTON SPRINGS RD UNIT 5030, AUSTIN, TX 78704-1471
(970) 708-4525
Mailing address
PO BOX 24691, FORT WORTH, TX 76124-1691
(817) 451-4208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L7698
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163993201
—
TX
05
—
200033560A
—
OK
05
—
78355389
—
NM
01
—
8K6260
BLUECROSS BLUE SHIELD
TX
Enumeration date
07/17/2006
Last updated
11/17/2023
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