Organization
SUE E. CROW, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUE ELLA CROW M.D. (OWNER)
(830) 739-8717
Entity
Organization
Contact information
Practice address
815 FRONT STREET, COMFORT, TX 78013-0156
(830) 995-5633
(830) 995-5654
Mailing address
200 W WINDCREST ST, FREDERICKSBURG, TX 78624-4408
(830) 997-0330
(830) 995-5654
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
H2321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00681R
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
01/17/2008
Last updated
01/17/2008
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