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Individual

ROY MICHAEL CROWNOVER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 N UNION AVE, NEW BRAUNFELS, TX 78130-4194
(830) 643-6166
Mailing address
1326 HILLTOP RDG, NEW BRAUNFELS, TX 78132-2289
(830) 964-3274

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M4014
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181370101
TX
05
181370102
TX
05
181370105
TX
05
181370106
TX
05
181370109
TX
01
8K0532
BCBS
TX
01
8M6796
BCBS
TX
01
8V2234
BCBS
TX
01
8W0380
BCBS
TX
01
8X7467
BCBS
TX
Enumeration date
05/12/2006
Last updated
03/07/2008
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