Individual
KAREN L CROTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 W TERRELL AVE STE 400, FORT WORTH, TX 76104-2829
(817) 250-7247
Mailing address
4500 SOUTH LANCASTER RD, DALLAS VA MEDICAL CENTER, DALLAS, TX 75216
(214) 742-8387
(214) 857-1891
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
12512R
LA
208800000X
Urology Physician
Primary
H7007
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1537489
—
LA
01
—
1900173
UNITED HEALTHCARE
LA
01
—
2000760
AETNA
LA
01
—
2317825001
CIGNA
LA
01
—
340015057
MEDICARE RAILROAD
LA
Enumeration date
07/07/2005
Last updated
08/16/2023
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