Donald Edwin Crockett in Midland - Trauma Surgery

Donald Edwin Crockett - NPI 1497708291

Donald Edwin Crockett is a Trauma Surgery in Midland, Texas. Donald Edwin Crockett practices all healthcare services and medical treatments related to Trauma Surgery. The NPI Number for Donald Edwin Crockett is 1497708291. The last update date is 2015-04-15.

Donald Edwin Crockett's current location address is 2405 W Missouri Ave, Midland, Texas. You can contact this provider via phone number 4326971061 and fax number 4326977089. The mailing address for Donald Edwin Crockett is 2405 W Missouri Ave, Midland, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald Edwin Crockett
Address 2405 W Missouri Ave, Midland, Texas
Phone Number 4326971061
Fax Number 4326977089
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1497708291
Provider Enumeration Date 2006-05-19
Last Updated Date 2015-04-15

Provider Mailing Address Detail

Address 2405 W Missouri Ave
City Midland
State Texas (TX)
Post Code 797016800
Phone Number 4326971061
Fax Number 4326977089

Provider's Primary Taxonomy Detail

Speciality Trauma Surgery
Taxonomy 2086S0127X
Licence No E6294
Definition:
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, ty

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
770001753 TX MEDICARE RAILROAD
111016100 FIRSTCARE
84340G TX BLUE CROSS
P081870J8 TX --
000J3027 NM --
81870J TX MEDICARE PROVIDER NUMBER

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FAQs about Donald Edwin Crockett

What is the unique identification code assigned to Donald Edwin Crockett by the Centers for Medicare & Medicaid Services?

The Donald Edwin Crockett has been issued the NPI (National Provider Identifier) 1497708291. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Donald Edwin Crockett?

The Donald Edwin Crockett is physically situated at 2405 W Missouri Ave, in the city of Midland, state of TX, with the postal code 797016800.

What is Donald Edwin Crockett's area of expertise and its corresponding taxonomy classification?

The Donald Edwin Crockett's field of specialization is Trauma Surgery, and it falls under the taxonomy code 2086S0127X, which categorizes healthcare providers based on their areas of practice.

On what date did Donald Edwin Crockett receive its 1497708291 assignment from the Centers for Medicare & Medicaid Services?

The Donald Edwin Crockett was assigned its 1497708291 on 2006-05-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Donald Edwin Crockett, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Donald Edwin Crockett, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-04-15.

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