MEDICARE: DR. COURTNEY MAURICE 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	207WX0107X	Retina Specialist (Ophthalmology) Physician	35832	OK
2	207WX0107X	Retina Specialist (Ophthalmology) Physician	84595	GA
3	207WX0107X	Retina Specialist (Ophthalmology) Physician	51239	TN
4	207WX0107X	Retina Specialist (Ophthalmology) Physician	MD45810	IA
5	207WX0107X	Retina Specialist (Ophthalmology) Physician	258189	MA
6	207WX0107X	Retina Specialist (Ophthalmology) Physician	2020-01277	NC
7	207WX0107X	Retina Specialist (Ophthalmology) Physician	Q7173	TX
8	207WX0107X	Retina Specialist (Ophthalmology) Physician	E-12784	AR
9	207WX0107X	Retina Specialist (Ophthalmology) Physician	MD2020-0353	NM
10	207WX0107X	Retina Specialist (Ophthalmology) Physician	MD16947	RI
11	207WX0107X	Retina Specialist (Ophthalmology) Physician	DR.0064347	CO
12	207WX0107X	Retina Specialist (Ophthalmology) Physician	4301501895	MI
13	207WX0107X	Retina Specialist (Ophthalmology) Physician	66760	CT
14	207WX0107X	Retina Specialist (Ophthalmology) Physician	53996	KY
15	207WX0107X	Retina Specialist (Ophthalmology) Physician	60219	AZ

General Provider Information

NPI Number	:	1265546170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COURTNEY MAURICE CRAWFORD M.D.

Provider Business Mailing Address
First Line	:	2780 SW WILSHIRE BLVD
Second Line	:
City	:	BURLESON
State	:	TX
Zip	:	76028-8338
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2780 SW WILSHIRE BLVD
Second Line	:
City	:	BURLESON
State	:	TX
Zip	:	76028-8338
Country	:	US
Telephone Number	:	817-378-4777
Fax Number	:

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	02/16/2026

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