MEDICARE: LINDSAY CROFT PA-C

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	363AM0700X	Medical Physician Assistant	PA18352	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	16061873	OTHER		CAQH

General Provider Information

NPI Number	:	1346932712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY CROFT PA-C

Provider Business Mailing Address
First Line	:	451 KINGWOOD MEDICAL DR STE 200
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-6408
Country	:	US
Telephone Number	:	281-359-2080
Fax Number	:

Provider Business Practice Location Address
First Line	:	451 KINGWOOD MEDICAL DR STE 200
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-6408
Country	:	US
Telephone Number	:	281-359-2080
Fax Number	:

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

Provider Enumeration Date	:	05/24/2023
Last Update Date	:	01/30/2025

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Directions to “ LINDSAY CROFT PA-C” Practice Location

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