Craig Michael Radford
Gastroenterologist
1720 South Beckham
Tyler
, Texas 75701
Craig Michael Radford
Gastroenterologist
1720 South Beckham
Tyler
, Texas 75701
(903) 597-2314
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Craig Michael Radford
- 1720 South Beckham
- Tyler, TX
- Zip : 75701
- Fax : (903) 597-2314
- Phone : (903) 595-5101
Second Address
- Craig Michael Radford
- 1720 South Beckham
- Tyler, TX
- Zip : 75701
- Fax : (903) 597-2314
- Phone : (903) 595-5101
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | H3734 | TX |
National Provider Identifier
| NPI | 1053324343 |
|---|---|
| Provider Name | Craig Michael Radford |
| First Address | Tyler, TX 75701 |
| Second Address | Tyler, TX 75701 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2006 |
| Last Update Date | 14/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 129617007 | (05) | TX |
| B25731 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.