Healthcare Provider Details

I. General information

NPI: 1407995145
Provider Name (Legal Business Name): WILLIAM F. CRAVEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7865 EDUCATORS LN SUITE300
MEMPHIS TN
38133-8191
US

IV. Provider business mailing address

7865 EDUCATORS LN SUITE300
MEMPHIS TN
38133-8191
US

V. Phone/Fax

Practice location:
  • Phone: 901-384-9920
  • Fax: 901-937-7879
Mailing address:
  • Phone: 901-384-9920
  • Fax: 901-937-7879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberMD0000017906
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: