Provider Demographics
NPI:1326712357
Name:CRANE CLINICAL SERVICES PLLC
Entity Type:Organization
Organization Name:CRANE CLINICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-625-3230
Mailing Address - Street 1:5656 BEE CAVES RD STE J201
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5809
Mailing Address - Country:US
Mailing Address - Phone:415-625-3230
Mailing Address - Fax:512-597-0402
Practice Address - Street 1:5656 BEE CAVES RD STE J201
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5809
Practice Address - Country:US
Practice Address - Phone:512-446-9486
Practice Address - Fax:512-597-0402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty