Provider Demographics
NPI:1497019863
Name:CRAWFORD, KRISTEN (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 HIGHLAND VILLAGE RD STE 600
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-8102
Mailing Address - Country:US
Mailing Address - Phone:972-317-0331
Mailing Address - Fax:972-317-3811
Practice Address - Street 1:2300 HIGHLAND VILLAGE RD STE 600
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-8102
Practice Address - Country:US
Practice Address - Phone:972-317-0331
Practice Address - Fax:972-317-3811
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS23132207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MST-2544OtherTEMPORARY MEDICAL LICENSE NUMBER