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Organization

RONALD K MCCRAW, PHD, DO, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD KENT MCCRAW PHD, DO, PA (OWNER/PHYSICIAN)
(409) 727-8007
Entity
Organization

Contact information

Practice address
2300 HIGHWAY 365, SUITE 610, NEDERLAND, TX 77627-6256
(409) 727-8007
(409) 727-8033
Mailing address
2300 HIGHWAY 365, SUITE 610, NEDERLAND, TX 77627-6256
(409) 727-8007
(409) 727-8033

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
23171
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
J0112
TX
208000000X
Pediatrics Physician
J0112
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126999502
TX
05
126999503
TX
Enumeration date
06/24/2009
Last updated
01/18/2012
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