Doctor Name: | DR. JOHN CRIM |
NPI Number: | 1083664320 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | J8976 |
Business Practice Address: | 2300 Valley View Ln 100 Farmers Branch, TX - 752345753 |
Business Phone Number: | 2145728835 |
Business Fax Number: | |
Mailing Address: | 4611 Shorewood Dr, ARLINGTON |
State: | TX |
Postal Code: | 760165404 |
Phone Number: | 8175720032 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | J8976 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |