Crow, Nannette F
Crow, Nannette F is an individual health care provider with primary practice located at 2125 W Southlake Blvd Ste 107 , Southlake TX 76092-6758. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Crow, Nannette F can be contacted via phone (817) 680-9858.Contact Information
Primary practice address
2125 W Southlake Blvd Ste 107
Southlake TX 76092-6758
Phone: (817) 680-9858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | H7416 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | H7416 | Texas |
Profile Details
| NPI number | 1588642318 |
|---|---|
| LBN Legal business name | Crow, Nannette F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Jul 19th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588642318 | NPPES |
| Texas | MEDICAID | 043467204 |
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