MEDICARE: MR. DANIEL CROWE MD

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	207R00000X	Internal Medicine Physician	P2623	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110137019	OTHER	NH	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255325015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL CROWE MD

Provider Business Mailing Address
First Line	:	2100 BROOKLYN ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-4325
Country	:	US
Telephone Number	:	512-660-8766
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 BROOKLYN ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-4325
Country	:	US
Telephone Number	:	512-660-8766
Fax Number	:

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

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	05/17/2013

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