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NPI Code Detail

MEDICARE: KAREN L CROTTY M.D.

MEDICARE: KAREN L CROTTY M.D.
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
1208800000XUrology Physician12512RLA
2208800000XUrology PhysicianH7007TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2340015057OTHERLAMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31900173OTHERLAUNITED HEALTHCARE
42000760OTHERLAAETNA
52317825001OTHERLACIGNA

General Provider Information

NPI Number : 1912905688
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN L CROTTY M.D.
Provider Business Mailing Address
First Line : 4500 SOUTH LANCASTER RD
Second Line : DALLAS VA MEDICAL CENTER
City : DALLAS
State : TX
Zip : 75216
Country : US
Telephone Number : 214-742-8387
Fax Number : 214-857-1891
Provider Business Practice Location Address
First Line : 1300 W TERRELL AVE STE 400
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2829
Country : US
Telephone Number : 817-250-7247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 08/16/2023

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