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General NPI Number Information
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NPI Number | 1023983095
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Entity Type | Organization
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Legal Business Name | CROFOOTMD CLINIC PLLC
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 3701 KIRBY DR STE 1230
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City | HOUSTON
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State | TX
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Zip | 77098-3916
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Country | US
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Telephone | 713-526-0005
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Fax | 855-802-2503
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Provider Business Mailing Address
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Address Line | 3701 KIRBY DR STE 1230
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City | HOUSTON
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State | TX
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Zip | 77098-3916
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Country | US
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Telephone | 713-526-0005
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Fax | 174-185-5802
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GORDON ELWOOD CROFOOT JR.
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Credential | MD
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Telephone | 713-526-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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