Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 232785 | TX |
NPI | 1013048073 |
---|---|
Provider Name | Mrs. Margie Carol Crews |
First Address | Plano, TX 75023-6015 |
Second Address | Plano, TX 75093-5841 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 08/07/2007 |