Individual
MR. JOE D CRNKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACA
Contact information
Practice address
3600 S TEXAS AVE STE 400, BRYAN, TX 77802-3769
(979) 779-3070
(979) 779-7565
Mailing address
3600 S TEXAS AVE STE 400, BRYAN, TX 77802-3769
(979) 779-3070
(979) 779-7565
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
50236
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022122801
—
TX
01
—
516533
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/02/2006
Last updated
12/10/2013
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