Healthcare Provider Details

I. General information

NPI: 1023025129
Provider Name (Legal Business Name): STUART D CRANE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 01/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 TEXAS OAK
ALPINE TX
79830-7523
US

IV. Provider business mailing address

404 TEXAS OAK
ALPINE TX
79830-7523
US

V. Phone/Fax

Practice location:
  • Phone: 432-386-6537
  • Fax:
Mailing address:
  • Phone: 432-386-6537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberH7980
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: