MEDICARE: DR. DON R CRANDALL D.C.

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	111N00000X	Chiropractor	5035	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5035	OTHER	TX	CHIROPRACTIC LICENSE

General Provider Information

NPI Number	:	1851482103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DON R CRANDALL D.C.

Provider Business Mailing Address
First Line	:	3711 GARTH RD STE 140A
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77521-3176
Country	:	US
Telephone Number	:	832-926-4858
Fax Number	:	832-926-4866

Provider Business Practice Location Address
First Line	:	3711 GARTH RD STE 140A
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77521-3176
Country	:	US
Telephone Number	:	832-926-4858
Fax Number	:	832-926-4866

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	07/21/2022

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