| Euell W Crisp, Md, Pa | |
|
501 N Reynolds St Alice TX 78332-4643 | |
| (361) 664-7364 | |
| Not Available |
| Full Name | Euell W Crisp, Md, Pa |
|---|---|
| Speciality | General Practice |
| Location | 501 N Reynolds St, Alice, Texas |
| Authorized Official Name and Position | Euell W Crisp (OWNER/DIRECTOR) |
| Authorized Official Contact | 3615790315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Euell W Crisp, Md, Pa 501 N Reynolds St Alice TX 78332-4643 Ph: (361) 664-7364 | Euell W Crisp, Md, Pa 501 N Reynolds St Alice TX 78332-4643 Ph: (361) 664-7364 |
| NPI Number | 1710904891 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 12/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710904891 | NPI | - | NPPES |
| 0057MN | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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