Healthcare Provider Details
I. General information
NPI: 1437669363
Provider Name (Legal Business Name): CRAIG FINK BSAE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/05/2017
Last Update Date: 10/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
266 STONEY CREEK DR
HOUSTON TX
77024-6209
US
IV. Provider business mailing address
266 STONEY CREEK DR
HOUSTON TX
77024-6209
US
V. Phone/Fax
- Phone: 281-334-7085
- Fax:
- Phone: 281-334-7085
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1744G0900X |
| Taxonomy | Graphics Designer |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1744R1102X |
| Taxonomy | Research Study Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: