MEDICARE: KIMBERLY T CRAWFORD 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	K3141	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1487817151	OTHER	TX	GROUP NPI
2	0064RP	OTHER	TX	BLUE CROSS GOUP
3	8DW621	OTHER	TX	BLUE CROSS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417926783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY T CRAWFORD MD

Provider Business Mailing Address
First Line	:	6124 WEST PARKER ROAD
Second Line	:	SUITE 234 MOB III
City	:	PLANO
State	:	TX
Zip	:	75093-8124
Country	:	US
Telephone Number	:	972-981-7500
Fax Number	:	972-981-3600

Provider Business Practice Location Address
First Line	:	6124 WEST PARKER ROAD
Second Line	:	SUITE 234 MOB III
City	:	PLANO
State	:	TX
Zip	:	75093-8124
Country	:	US
Telephone Number	:	972-981-7500
Fax Number	:	972-981-3600

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	08/29/2013

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Directions to “ KIMBERLY T CRAWFORD MD” Practice Location

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