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NPI Code Detail

MEDICARE: DEZILYN L CRAWFORD

MEDICARE: DEZILYN L CRAWFORD
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
1235Z00000XSpeech-Language Pathologist121177TX

General Provider Information

NPI Number : 1811542947
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEZILYN L CRAWFORD
Provider Business Mailing Address
First Line : 100 CONGRESS AVE STE 2000
Second Line :
City : AUSTIN
State : TX
Zip : 78701-2745
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Provider Business Practice Location Address
First Line : 16400 BLANCO RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-1902
Country : US
Telephone Number : 210-572-4954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2019
Last Update Date : 12/08/2025

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Directions to “ DEZILYN L CRAWFORD ” Practice Location

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