Provider Demographics
NPI:1306866603
Name:CROFF, ANTHONY HAR-NEL (DO)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:HAR-NEL
Last Name:CROFF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6005 WILMINGTON DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-2806
Mailing Address - Country:US
Mailing Address - Phone:972-824-5789
Mailing Address - Fax:
Practice Address - Street 1:4343 N. JOSEY LN
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4603
Practice Address - Country:US
Practice Address - Phone:972-394-1010
Practice Address - Fax:972-394-4783
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1995207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G68385Medicare UPIN