Organization Name: | J. STUART CRUTCHFIELD, M.D.,P.A. |
NPI Number: | 1235310590 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KASEY YOUNT G (BILLING COORDINATOR) |
Mailing Address: | 722 Clinic Dr Tyler |
State: | TX US |
Postal Code: | 757012001 |
Phone Number: | 9095319901 |
Fax Number: | 9035310079 |
NPI Enumeration Date: | 11/15/2007 |
NPI Last Update Date: | 07/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | H6140 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |