Individual
MRS. SHELLYE ELAINE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1935 MEDICAL DISTRICT DR., DALLAS, TX 75235-7701
(214) 456-8190
(214) 456-5071
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-8190
(214) 456-5071
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
594184
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168010001
—
TX
01
—
16801001
PARKLAND HEALTH FIRST
TX
01
—
7000156
AETNA
TN
01
—
UT000CH54
BLUE SHIELD
TX
Enumeration date
11/13/2006
Last updated
04/26/2024
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