| Organization Name: | CRANE MEDICAL CLINIC PA |
| NPI Number: | 1053504639 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE GUMATO (CLINIC MANAGER) |
| Mailing Address: | 103 S Gaston St Crane |
| State: | TX US |
| Postal Code: | 797312019 |
| Phone Number: | 4325582223 |
| Fax Number: | 4325582208 |
| NPI Enumeration Date: | 08/27/2007 |
| NPI Last Update Date: | 10/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |