Individual
MR. LEVON RAY CRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP BOCPO
Contact information
Practice address
2473 MCFADDIN ST, BEAUMONT, TX 77702-1921
(337) 244-3011
Mailing address
2473 MCFADDIN ST, BEAUMONT, TX 77702-1921
(337) 244-3011
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
103
TX
224P00000X
Prosthetist
Primary
103
TX
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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