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Individual

MR. MICHEAL CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MTI

Contact information

Practice address
3638 W PIONEER PKWY, SUITE 102, PANTEGO, TX 76013-4526
(682) 551-2670
Mailing address
3638 W PIONEER PKWY, SUITE 102, PANTEGO, TX 76013-4526
(682) 551-2670

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT110851
TX

Other

Enumeration date
02/24/2015
Last updated
02/24/2015
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