Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | F9340 | TX |
Y | 207VX0201X | Gynecologic Oncologist | F9340 | TX |
NPI | 1376586271 |
---|---|
Provider Name | Mark Allen Crozier |
First Address | Austin, TX 78701-1137 |
Second Address | Austin, TX 78701-1954 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 29/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
137632916 | (05) | TX |
D20215 | (02) |