Individual
DR. DEBORAH JEAN CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 DOUGLAS BLVD, TYLER, TX 75702-8307
(903) 606-1721
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
04-37080
KS
2084P0800X
Psychiatry Physician
Primary
S5347
TX
208D00000X
General Practice Physician
14266
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1C5100
MEDICARE
TX
05
—
410567801
—
TX
01
—
8MK602
BCBS
TX
01
—
P02469276
MEDICARE RAIL ROAD
TX
Enumeration date
07/17/2007
Last updated
07/13/2020
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