Individual
DR. JOHN WALTON CRADDOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8731 KATY FWY STE 200, HOUSTON, TX 77024-1735
(832) 678-8333
(713) 467-0965
Mailing address
10740 N GESSNER RD STE 310, HOUSTON, TX 77064-1240
(281) 897-0416
(281) 890-8908
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
K0282
TX
207YP0228X
Pediatric Otolaryngology Physician
K0282
TX
207YS0012X
Sleep Medicine (Otolaryngology) Physician
K0282
TX
207YS0123X
Facial Plastic Surgery Physician
K0282
TX
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
K0282
TX
207YX0602X
Otolaryngic Allergy Physician
K0282
TX
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
K0282
TX
Other
Enumeration date
12/29/2005
Last updated
08/09/2021
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