MEDICARE: DR. DEBBIE CRAWFORD DO

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	207Q00000X	Family Medicine Physician	J8973	TX

General Provider Information

NPI Number	:	1366488678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBBIE CRAWFORD DO

Provider Business Mailing Address
First Line	:	120 COUNTY ROAD 408
Second Line	:
City	:	GOLDTHWAITE
State	:	TX
Zip	:	76844-3429
Country	:	US
Telephone Number	:	325-938-5478
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 COUNTY ROAD 408
Second Line	:
City	:	GOLDTHWAITE
State	:	TX
Zip	:	76844-3429
Country	:	US
Telephone Number	:	325-938-5478
Fax Number	:	325-938-5478

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	06/21/2011

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