Individual
NANNETTE F CROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2125 W SOUTHLAKE BLVD STE 107, SOUTHLAKE, TX 76092-6758
(817) 680-9858
Mailing address
2606 PARKER CT, SOUTHLAKE, TX 76092-3240
(214) 803-2769
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H7416
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043467204
—
TX
Enumeration date
01/03/2006
Last updated
03/24/2025
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