Individual
JUSTIN DWAYNE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1121 77TH ST, LUBBOCK, TX 79423-4529
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
184775
TX
246ZC0007X
Surgical Assistant
Primary
184775
TX
Other
Enumeration date
11/07/2021
Last updated
11/09/2021
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