Organization
LEGACY PSYCHIATRIC CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W CRUMPACKER M.D. (OWNER)
(972) 403-1463
Entity
Organization
Contact information
Practice address
5045 LORIMAR DR STE 290, PLANO, TX 75093-5721
(972) 403-1463
(972) 403-1465
Mailing address
5045 LORIMAR DR STE 290, PLANO, TX 75093-5721
(972) 403-1463
(972) 403-1465
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
J8977
TX
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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