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Individual

DR. ALAN P CROWTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., RVS

Contact information

Practice address
8401 DATAPOINT DR STE 600, SAN ANTONIO, TX 78229-5907
(210) 616-7700
(210) 616-7709
Mailing address
8401 DATAPOINT DR STE 600, SAN ANTONIO, TX 78229-5907
(210) 616-7700
(210) 616-7709

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
G9695
TX
208D00000X
General Practice Physician
G9695
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1363731-10
TX
05
1363731-11
TX
05
1363731-12
TX
01
G9695
TEXAS MEDICAL LICENSE
TX
01
P01416195
RAILROAD MEDICARE
TX
01
P01416235
RAILROAD MEDICARE
TX
Enumeration date
08/07/2006
Last updated
03/31/2016
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