Healthcare Provider Details

I. General information

NPI: 1043640618
Provider Name (Legal Business Name): FRANCIS EDWARD CRISS JR. PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2013
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HQ, MEDDAC BAVARIA UNIT 28037 BLDG 700
APO AE
09112
US

IV. Provider business mailing address

HQ, MEDDAC BAVARIA UNIT 28037 BLDG 700
APO AE
09112
US

V. Phone/Fax

Practice location:
  • Phone: 910-907-8922
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: