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General NPI Number Information
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NPI Number | 1659720340
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Entity Type | Individual
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Provider Name | BRYCE K CRAGG MD, MS
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Gender | Male
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Dates
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Enumeration Date | 06/03/2016
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 1400 N COIT RD STE 302
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City | MCKINNEY
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State | TX
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Zip | 75071-6656
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Country | US
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Telephone | 833-351-8255
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Fax |
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Provider Business Mailing Address
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Address Line | P.O BOX 24449
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City | NEW YORK
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State | NY
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Zip | 10087
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Country | US
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Telephone | 833-351-8255
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Fax | 305-243-8532
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | T7189
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0015X
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Taxonomy Name | Psychosomatic Medicine Physician
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License Number | ME147633
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 328920
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License Number State | NY
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