Organization
CROSSFORD'S ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRASA FORD RNFA (OWNER)
(713) 501-9703
Entity
Organization
Contact information
Practice address
4 LAKE DR, CONROE, TX 77384-3122
(713) 501-9703
Mailing address
4 LAKE DR, CONROE, TX 77384-3122
(713) 501-9703
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
RN669199
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN669199
RNFA
TX
Enumeration date
05/15/2012
Last updated
03/26/2020
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