Provider Demographics
NPI:1447237938
Name:CRAWFORD, ANDREW S (DO)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:S
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6600 S YALE AVE STE 1200
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3361
Mailing Address - Country:US
Mailing Address - Phone:918-488-6045
Mailing Address - Fax:918-488-6098
Practice Address - Street 1:6160 S YALE AVE # 1
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1930
Practice Address - Country:US
Practice Address - Phone:918-497-3300
Practice Address - Fax:918-497-3365
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2019-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK3454207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100138310AMedicaid
OK110236372OtherRAILROAD MEDICARE
OK110236372OtherRAILROAD MEDICARE