Individual
DEBORAH CRUMBAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1604 ROCK PRAIRIE RD, COLLEGE STATION, TX 77845-8345
(979) 776-2400
Mailing address
PO BOX 163567, AUSTIN, TX 78716-3567
(979) 776-2400
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G9338
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P083P3292
—
TX
Enumeration date
01/03/2006
Last updated
07/08/2007
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