Individual
DR. BRET F CRAYTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-5220
(903) 614-5111
(903) 614-5114
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 377-5600
(615) 373-5280
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
16975
OK
207RP1001X
Pulmonary Disease Physician
E0731
AR
207RP1001X
Pulmonary Disease Physician
Primary
J8974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100706402
—
TX
05
—
10090430C
—
OK
05
—
130592001
—
AR
Enumeration date
07/21/2005
Last updated
05/20/2010
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