Individual
FAYE MATTIE CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 OAK CENTRE DR STE 110, SAN ANTONIO, TX 78258-3935
(210) 494-0690
Mailing address
303 E MAIN ST, ROUND ROCK, TX 78664-5246
(512) 732-2774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07966
TX
Other
Enumeration date
08/13/2012
Last updated
07/18/2023
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