Provider Demographics
NPI:1164462131
Name:CRAVENS, GEORGE F (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:F
Last Name:CRAVENS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1000 HOUSTON ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76102-6415
Mailing Address - Country:US
Mailing Address - Phone:817-336-0551
Mailing Address - Fax:888-316-3855
Practice Address - Street 1:1000 HOUSTON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-6415
Practice Address - Country:US
Practice Address - Phone:817-336-0551
Practice Address - Fax:888-316-3855
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2019-08-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF6547207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX134660303Medicaid
TX134660303Medicaid
TXC14868Medicare UPIN