Provider Demographics
NPI:1003974999
Name:CRAWFORD, ADAORA NKECHI
Entity Type:Individual
Prefix:
First Name:ADAORA
Middle Name:NKECHI
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ADAORA
Other - Middle Name:NKECHI
Other - Last Name:CHUKWUMA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 167611
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75016-7611
Mailing Address - Country:US
Mailing Address - Phone:972-659-8980
Mailing Address - Fax:972-659-8980
Practice Address - Street 1:4208 W NORTHGATE DR
Practice Address - Street 2:#110
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-2433
Practice Address - Country:US
Practice Address - Phone:972-659-8980
Practice Address - Fax:972-659-8980
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator