John Stuart Crutchfield in Tyler - Neurological Surgery

John Stuart Crutchfield - NPI 1770564320

John Stuart Crutchfield is a Neurological Surgery in Tyler, Texas. John Stuart Crutchfield practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for John Stuart Crutchfield is 1770564320. The last update date is 2010-06-21.

John Stuart Crutchfield's current location address is 722 Clinic Dr, Tyler, Texas. You can contact this provider via phone number 9035319901 and fax number 9035319739. The mailing address for John Stuart Crutchfield is 722 Clinic Dr, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name John Stuart Crutchfield
Address 722 Clinic Dr, Tyler, Texas
Phone Number 9035319901
Fax Number 9035319739
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1770564320
Provider Enumeration Date 2005-11-10
Last Updated Date 2010-06-21

Provider Mailing Address Detail

Address 722 Clinic Dr
City Tyler
State Texas (TX)
Post Code 757012001
Phone Number 9035319901
Fax Number 9035319739

Provider's Primary Taxonomy Detail

Speciality Neurological Surgery
Taxonomy 207T00000X
Licence No H6140
Definition:
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
163049302 TX --
0019KV TX BLUE CROSS BLUE SHIELD

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FAQs about John Stuart Crutchfield

What is the unique 10-digit identification code assigned to John Stuart Crutchfield by the Centers for Medicare & Medicaid Services?

The John Stuart Crutchfield has been issued the NPI (National Provider Identifier) 1770564320, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where John Stuart Crutchfield is geographically located?

The John Stuart Crutchfield is physically situated at the following location: 722 Clinic Dr, Tyler, TX, 757012001.

What is John Stuart Crutchfield's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John Stuart Crutchfield's specialized field of practice is Neurological Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 207T00000X.

On what date did the John Stuart Crutchfield receive the assignment of its 1770564320 from the Centers for Medicare & Medicaid Services?

The John Stuart Crutchfield was issued its 1770564320 by the Centers for Medicare & Medicaid Services on 2005-11-10.

When was the information regarding John Stuart Crutchfield most recently updated?

The details pertaining to the John Stuart Crutchfield, including its address, specialty, and other relevant information, were last refreshed on 2010-06-21.

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