Healthcare Provider Details

I. General information

NPI: 1740144666
Provider Name (Legal Business Name): KAREN MICHELLE CRAWFORD PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 NE SHADY OAKS DR
BURLESON TX
76028-2507
US

IV. Provider business mailing address

233 NE SHADY OAKS DR
BURLESON TX
76028-2507
US

V. Phone/Fax

Practice location:
  • Phone: 210-392-3109
  • Fax: 210-392-3109
Mailing address:
  • Phone: 210-392-3109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0200X
TaxonomyPediatric Pharmacist
License Number38589
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: