Bruce Edward Crow in Fort Sam Houston - Clinical
Bruce Edward Crow - NPI 1578633624
Bruce Edward Crow is a Clinical in Fort Sam Houston, Texas. Bruce Edward Crow practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bruce Edward Crow is 1578633624. The last update date is 2007-07-08.
Bruce Edward Crow's current location address is 3851 Roger Brooke Dr, Fort Sam Houston, Texas. You can contact this provider via phone number 2109164342. The mailing address for Bruce Edward Crow is 3851 Roger Brooke Dr, Fort Sam Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Edward Crow |
|---|---|
| Address | 3851 Roger Brooke Dr, Fort Sam Houston, Texas |
| Phone Number | 2109164342 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1578633624 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3851 Roger Brooke Dr |
|---|---|
| City | Fort Sam Houston |
| State | Texas (TX) |
| Post Code | 782344501 |
| Phone Number | 2109164342 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 269 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Bruce Edward Crow by the Centers for Medicare & Medicaid Services (CMS)?
The Bruce Edward Crow has been assigned the NPI (National Provider Identifier) 1578633624. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Bruce Edward Crow?
The Bruce Edward Crow is physically situated at 3851 Roger Brooke Dr, in the city of Fort Sam Houston, state of TX, with the postal code 782344501.
What is the Bruce Edward Crow's specialty and taxonomy code?
The Bruce Edward Crow's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did Bruce Edward Crow receive its 1578633624 assignment?
The Bruce Edward Crow was assigned its 1578633624 on 2006-11-08, which is the date when this unique identifier was issued to the organization.
As of what date were the Bruce Edward Crow's details last updated?
The information pertaining to the Bruce Edward Crow, including its address, specialty, and other details, was most recently updated on 2007-07-08.