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Individual

MITCHELL DEGRAZIER CROUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3737 DACOMA ST, HOUSTON, TX 77092-8905
(713) 248-7869
Mailing address
137 WHITE DR, BELLAIRE, TX 77401-4204
(214) 546-8061

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
66994
TX
1835P1300X
Psychiatric Pharmacist
Primary
66994
TX

Other

Enumeration date
03/29/2018
Last updated
04/20/2023
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