Individual
DR. PETER ANDREW CRISOLOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-2353
Mailing address
UT SOUTHWESTERN MEDICAL CENTER 1801 INWOOD ROAD, DALLAS, TX 75390-0001
(214) 645-3101
(214) 645-3105
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2272
TX
213E00000X
Podiatrist
36003775
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
2272
TX
Other
Enumeration date
04/15/2014
Last updated
08/09/2025
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