Individual
GERALD CRITCHFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(281) 793-5241
Mailing address
PO BOX 6003, FORT BLISS, TX 79906-0003
(281) 793-5241
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
985192
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
985192
LICENSE
TX
Enumeration date
11/01/2020
Last updated
11/01/2020
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