George O Crisp JR. M.D.

NPI 1063432151 - Preventive Medicine - 2083X0100X

NPI Details
NPI 1063432151
Gender Male
Enumeration Date 07/20/2006
Last Updated 09/20/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2901 ROANOKE LANE
TYLER TX, 75701-6523, US
Phone (903) 566-3185
Fax (903) 566-7787
Business Location
2901 ROANOKE LANE
TYLER TX, 75701-6523, US
Phone (903) 566-3185
Fax (903) 566-7787
Toxanomy
Taxonomy Code 2083X0100X
License State Texas
License Number C3021
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According to our database, George O Crisp JR. M.D. NPI is 1063432151, taxonomy code is 2083X0100X and license number is C3021, license state is located at Texas. George O Crisp JR. M.D. physically located at 2901 Roanoke Lane, Tyler TX, 75701-6523. NPI Number George O Crisp JR. M.D. has the Individual type.

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1063432151 NPI number is provided on an as is basis without warranty of any kind. 1063432151 is maintained by the National Plan & Provider Enumeration System. The contents of George O Crisp JR. M.D. are for informational purposes only.