MEDICARE: DR. KRISTOPHER R. CRAWFORD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD2020-0932	NM
2	207Q00000X	Family Medicine Physician	MD2020-0932	NM

General Provider Information

NPI Number	:	1124024195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTOPHER R. CRAWFORD M.D.

Provider Business Mailing Address
First Line	:	141 N ROADRUNNER PKWY STE 141A
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-2001
Country	:	US
Telephone Number	:	702-237-8119
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 N ROADRUNNER PKWY STE 141A
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-2001
Country	:	US
Telephone Number	:	702-237-8119
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	06/30/2024

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