Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | J9652 | TX |
NPI | 1104042795 |
---|---|
Provider Name | Dr. Felice Fay Crowder |
First Address | New Braunfels, TX 78130-5312 |
Second Address | New Braunfels, TX 78130-5312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G17078 | UPIN NUMBER (01) | TX |