Individual
CRAIG JAMES LILIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP10047307
TX
207L00000X
Anesthesiology Physician
Primary
Q8546
TX
Other
Enumeration date
05/07/2013
Last updated
10/07/2020
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