MEDICARE: DANA CRAN

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	235Z00000X	Speech-Language Pathologist	106365	TX

General Provider Information

NPI Number	:	1730695800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA CRAN

Provider Business Mailing Address
First Line	:	5412 ASPEN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-6602
Country	:	US
Telephone Number	:	310-902-2878
Fax Number	:

Provider Business Practice Location Address
First Line	:	5412 ASPEN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-6602
Country	:	US
Telephone Number	:	832-930-3394
Fax Number	:

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

Provider Enumeration Date	:	12/27/2017
Last Update Date	:	09/09/2024

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Directions to “ DANA CRAN ” Practice Location

Language	Start Address	Practice Location

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