Doctor Name: | MR. BILLY D. CRAWFORD |
NPI Number: | 1053436048 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS |
License Number: | 11374 |
Business Practice Address: | 701 Arkansas Blvd Texarkana, AR - 718542105 |
Business Phone Number: | 8707725028 |
Business Fax Number: | 8707722138 |
Mailing Address: | 3352 N Futrall Dr, FAYETTEVILLE |
State: | AR |
Postal Code: | 727034057 |
Phone Number: | 4795215868 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 06/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 11374 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |