Individual
MR. CRAIG G PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA00179
PA STATE LICENSE
TX
Enumeration date
11/10/2005
Last updated
03/06/2009
Update your record
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