Provider Demographics
NPI:1316042047
Name:CRANE, CURTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:
Last Name:CRANE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4407 BEE CAVES RD STE 612
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5285
Mailing Address - Country:US
Mailing Address - Phone:512-446-9486
Mailing Address - Fax:415-625-3233
Practice Address - Street 1:4407 BEE CAVES RD STE 612
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5285
Practice Address - Country:US
Practice Address - Phone:512-446-9486
Practice Address - Fax:512-597-0402
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301090914208800000X
NHRT1113208800000X
CAA121320208800000X
COCDR0002333208800000X
TXQ5383208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology