MEDICARE: DR. GEORGE F CRAVENS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	F6547	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164462131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE F CRAVENS M.D.

Provider Business Mailing Address
First Line	:	1000 HOUSTON ST
Second Line	:	SUITE 200
City	:	FORT WORTH
State	:	TX
Zip	:	76102-6415
Country	:	US
Telephone Number	:	817-336-0551
Fax Number	:	888-316-3855

Provider Business Practice Location Address
First Line	:	1000 HOUSTON ST
Second Line	:	SUITE 200
City	:	FORT WORTH
State	:	TX
Zip	:	76102-6415
Country	:	US
Telephone Number	:	817-336-0551
Fax Number	:	888-316-3855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	08/26/2019

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