Organization
CHARLES R. CRANE, M.D. AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R. CRANE M.D. (PRESIDENT)
(214) 343-6772
Entity
Organization
Contact information
Practice address
7920 BELT LINE RD STE 120, DALLAS, TX 75254-8148
(214) 343-6772
(214) 343-6686
Mailing address
PO BOX 550337, DALLAS, TX 75355-0337
(214) 343-6772
(214) 343-6686
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D1594
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356347-01
—
TX
Enumeration date
01/21/2010
Last updated
01/21/2010
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