Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | H4261 | TX |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS 9375 | FL |
N | 207Q00000X | Family Doctor | H4261 | TX |
N | 207Q00000X | Family Doctor | OS 9375 | FL |
NPI | 1477578151 |
---|---|
Provider Name | William Thomas Crow |
First Address | Fort Worth, TX 76199-0335 |
Second Address | Fort Worth, TX 76107-2553 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 26/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
127795606 | (05) | TX |
27146800 | (05) | FL |
8DP610 | BCBS (01) | TX |
E02909 | (02) | FL |
P01560691 | RAILROAD MEDICARE (01) | TX |