Individual
JEROME R CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
707 N WALDRIP ST, GRAND SALINE, TX 75140-1555
(903) 962-4242
(903) 962-7799
Mailing address
707 N WALDRIP ST, GRAND SALINE, TX 75140-1555
(903) 913-6300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1A3305
MEDICARE
TX
05
—
307729903
—
TX
01
—
8561ND
BCBS
TX
01
—
8MD176
BCBS
TX
01
—
909591
MEDICARE
TX
Enumeration date
03/01/2007
Last updated
12/16/2022
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