Doctor Name: | THOMAS JOEL CROSIER |
NPI Number: | 1407005861 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CNIM |
License Number: | 1134 |
Business Practice Address: | 33518 Haley Rd #1 Waller, TX - 77484 |
Business Phone Number: | 8327970899 |
Business Fax Number: | |
Mailing Address: | 158 N Whistlers Bend Cir, CONROE |
State: | TX |
Postal Code: | 773845051 |
Phone Number: | 8327970899 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2008 |
NPI Last Update Date: | 03/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | 1134 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |