Provider Demographics
NPI:1043595275
Name:RONALD K. CRABTREE D.D.S., P.A.
Entity Type:Organization
Organization Name:RONALD K. CRABTREE D.D.S., P.A.
Other - Org Name:CRABTREE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:K
Authorized Official - Last Name:CRABTREE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-347-1960
Mailing Address - Street 1:23056 WESTHEIMER PKWY
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3596
Mailing Address - Country:US
Mailing Address - Phone:281-347-1960
Mailing Address - Fax:
Practice Address - Street 1:23056 WESTHEIMER PKWY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3596
Practice Address - Country:US
Practice Address - Phone:281-347-1960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-19
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX136031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty