Michele Marie Crockett in Texarkana - Diagnostic Radiology
Michele Marie Crockett - NPI 1134139983
Michele Marie Crockett is a Diagnostic Radiology in Texarkana, Texas. Michele Marie Crockett practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Michele Marie Crockett is 1134139983. The last update date is 2008-06-09.
Michele Marie Crockett's current location address is 5002 Cowhorn Creek Rd, Texarkana, Texas. You can contact this provider via phone number 9036143000. The mailing address for Michele Marie Crockett is 5002 Cowhorn Creek Rd, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michele Marie Crockett |
|---|---|
| Address | 5002 Cowhorn Creek Rd, Texarkana, Texas |
| Phone Number | 9036143000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1134139983 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2008-06-09 |
Provider Mailing Address Detail
| Address | 5002 Cowhorn Creek Rd |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 755039766 |
| Phone Number | 9036143000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | MD.200782 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5901422 | NC | -- |
Post Comment/ Review Below
What is the Michele Marie Crockett's 1134139983?
The Michele Marie Crockett's NPI (National Provider Identifier) Number is 1134139983. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michele Marie Crockett's physical address?
The Michele Marie Crockett is physically located at 5002 Cowhorn Creek Rd, in the city of Texarkana, TX, with the postal code 755039766.
What is Michele Marie Crockett's area of expertise and its corresponding taxonomy classification?
The Michele Marie Crockett's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.
When was the Michele Marie Crockett's 1134139983 issued?
The Michele Marie Crockett's 1134139983 was issued on 2006-08-08.
When was the information related to Michele Marie Crockett most recently updated or refreshed?
The details pertaining to the Michele Marie Crockett, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-09.