Individual
D CROCKETT THIGPEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 WALTER REED BLVD, SUITE 204, GARLAND, TX 75042-3701
(972) 487-5462
(972) 487-5277
Mailing address
700 WALTER REED BLVD, SUITE 204, GARLAND, TX 75042-3701
(972) 487-5462
(972) 487-5277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L7216
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165899901
—
TX
01
—
8J0624
BCBS
TX
Enumeration date
05/24/2006
Last updated
07/12/2010
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