Healthcare Provider Details

I. General information

NPI: 1023121142
Provider Name (Legal Business Name): ROBERT N CRABTREE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6819 PLUM CREEK DR
AMARILLO TX
79124-1602
US

IV. Provider business mailing address

PO BOX 140096
DALLAS TX
75214-0096
US

V. Phone/Fax

Practice location:
  • Phone: 806-354-6107
  • Fax: 806-325-0381
Mailing address:
  • Phone: 214-522-0210
  • Fax: 214-522-0474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT N CRABTREE
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 214-522-0210