Individual
DR. JOHN WILSON CROMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
L0781
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157524305 (MDACC)
—
TX
01
—
8H8051
BC/BS
TX
01
—
8U5755
BCBS (MDACC)
TX
01
—
P00691104
RR MEDICARE (MDACC)
TX
Enumeration date
06/12/2006
Last updated
06/19/2012
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