Provider Demographics
NPI:1497797237
Name:CRAWFORD, STANLEY C (CRNA)
Entity Type:Individual
Prefix:MR
First Name:STANLEY
Middle Name:C
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9742 FM 2625 E
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75672-4099
Mailing Address - Country:US
Mailing Address - Phone:903-472-0023
Mailing Address - Fax:
Practice Address - Street 1:9742 FM 2625 E
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75672-4099
Practice Address - Country:US
Practice Address - Phone:903-472-0023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX237594 NA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered