MEDICARE: ALAN THOMAS CRAMER 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	2086S0122X	Plastic and Reconstructive Surgery Physician	D0839	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00H677	OTHER		BLUE CROSS

General Provider Information

NPI Number	:	1558314245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN THOMAS CRAMER MD

Provider Business Mailing Address
First Line	:	BOX 2555
Second Line	:
City	:	STAFFORD
State	:	TX
Zip	:	77497
Country	:	US
Telephone Number	:	713-790-0000
Fax Number	:	713-790-1212

Provider Business Practice Location Address
First Line	:	6560 FANNIN STREET
Second Line	:	SUITE 1712
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	713-790-0000
Fax Number	:	713-790-1212

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/08/2007

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